1. Home
  2. Directory
  3. Florida
  4. Tampa
  5. Urology
  6. NPI Profile

ETHAN G POLSKY M.D.
NPI 1871559740
Urology - Pediatric Urology in Tampa, FL

Active since April 21, 2006PECOS Enrolled
4712 N ARMENIA AVE, SUITE 200, TAMPA, FL 33603(813) 874-7500(813) 877-1397 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ethan G Polsky M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN G POLSKY M.D. (NPI 1871559740) is an individual pediatric urology provider in Tampa, Florida, licensed in Florida (ME95516) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871559740
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameETHAN G POLSKYCredential: M.D.
Location Address4712 N ARMENIA AVE, SUITE 200Tampa, FL 33603-2611
Mailing Address4712 N Armenia Ave, Suite 200Tampa, FL 33603-2611 · (813) 874-7500 · Fax (813) 877-1397
Phone(813) 874-7500
Fax(813) 877-1397
Sole ProprietorNo
Enumeration DateApril 21, 2006
Last NPPES UpdateJuly 9, 2015
✔ NPI 1871559740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in FL · ME95516
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
4712 N ARMENIA AVE, Tampa, FL 33603
Open in Google Maps ↗

Other Identifiers 1

Medicaid275204200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan G Polsky M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAY CENTRAL MEDICAL GROUP
Pediatrics
4712 N ARMENIA AVE, SUITE 102
TAMPA, FL 33603
Hillsborough County (813) 873-1725
DR. CHRISTINA JOY CANODY M.D.
Pediatrics
4712 N ARMENIA AVE, SUITE 102
TAMPA, FL 33603
Hillsborough County (813) 879-5716
ELLIOT MICHAEL REISMAN M.D.
Urology (Pediatric Urology)
4712 N ARMENIA AVE, SUITE 200
TAMPA, FL 33603
Hillsborough County (813) 874-7400
CHILDRENS UROLOGY GROUP PL
Urology (Pediatric Urology)
4712 N ARMENIA AVE, SUITE 200
TAMPA, FL 33603
Hillsborough County (813) 874-7500
DR. CHRISTIAN EDGAR DAVILA DDS,MS
Dentist (Oral and Maxillofacial Surgery)
4712 N ARMENIA AVE, SUITE 100
TAMPA, FL 33603
Hillsborough County (813) 872-9313
DENNIS L. HOOVER M.D.
Urology (Pediatric Urology)
4712 N ARMENIA AVE, STE. 200
TAMPA, FL 33603
Hillsborough County (813) 874-7500
MARK E KOLLIGIAN M.D.
Urology (Pediatric Urology)
4712 N ARMENIA AVE, SUITE 200
TAMPA, FL 33603
Hillsborough County (813) 874-7500
DR. KRISTINE BUDD RIETSMA D.O
Pediatrics
4712 N ARMENIA AVE, SUITE 102
TAMPA, FL 33603
Hillsborough County (813) 879-5716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Polsky's NPI number?

The NPI number for Ethan Polsky is 1871559740. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Ethan Polsky located?

Ethan Polsky practices at 4712 N Armenia Ave Suite 200, Tampa, FL 33603. The listed phone number is (813) 874-7500.

What is Ethan Polsky's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Ethan Polsky enrolled in Medicare?

Yes. Ethan Polsky is registered in the Medicare PECOS enrollment system.

What insurance does Ethan Polsky accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Ethan Polsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Polsky was last updated on July 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.