MEDWAY MEDICAL CENTERS OF CLEARWATER LLC
NPI 1962192716
Family Medicine in Clearwater, FL

Active since May 15, 2023CLIA Certified · 2 labs
1012 DRUID RD E, CLEARWATER, FL 33756(727) 877-0004 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Medway Medical Centers Of Clearwater Llc NPPES

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

MEDWAY MEDICAL CENTERS OF CLEARWATER LLC (NPI 1962192716) is a healthcare organization registered as a family medicine in Clearwater, Florida and active in the NPI registry since May 2023. The organization holds 2 active CLIA laboratory certificates and lists Frank Acosta, President, as its authorized official.

NPPES Registry Identity

NPI1962192716
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDWAY MEDICAL CENTERS OF CLEARWATER LLC
Location Address1012 DRUID RD EClearwater, FL 33756-5606
Mailing Address140 Island Way Ste 115Clearwater, FL 33767-2216 · (727) 877-0004
Organization SubpartNo
Authorized OfficialFrank AcostaPresident · (727) 877-0004
Enumeration DateMay 15, 2023
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1962192716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X
1012 DRUID RD E, Clearwater, FL 33756

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medway Medical Centers Of Clearwater Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Medway Medical Centers Of Clearwater LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1508625435
4430 LETO LAKES BLVD APT 206
Tampa, FL 33614
(229) 251-7650
✔ PECOS17 mi
General Practice
NPI 1598868903
1 NE 167TH ST
North Miami Beach, FL 33162
(305) 432-9565
✔ PECOS213 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2287160

Medway Medical Centers Of Clearwater LLC · Clearwater, FL
Active · expires Aug 9, 2027
CLIA Number10D2287160
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorVicnete A. Rodriguez
Laboratory Phone(727) 877-0004
Laboratory LocationMedway Medical Centers Of Clearwater LLC1012 Druid Rd E, Clearwater, FL 33756
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2215276

Medway Medical Centers LLC · New Port Richey, FL
Active · expires Mar 1, 2027
CLIA Number10D2215276
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorJose V. Perez
Laboratory Phone(727) 877-0004
Laboratory LocationMedway Medical Centers LLC4802 Grand Blvd, New Port Richey, FL 34652
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medway Medical Centers Of Clearwater LLC's NPI number?

The NPI number for Medway Medical Centers Of Clearwater LLC is 1962192716. It was assigned to this organization in the NPPES registry on May 15, 2023.

Where is Medway Medical Centers Of Clearwater LLC located?

Medway Medical Centers Of Clearwater LLC is located at 1012 Druid Rd E, Clearwater, FL 33756. The listed phone number is (727) 877-0004.

What is Medway Medical Centers Of Clearwater LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Medway Medical Centers Of Clearwater LLC enrolled in Medicare?

Yes. Medway Medical Centers Of Clearwater LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medway Medical Centers Of Clearwater LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Medway Medical Centers Of Clearwater LLC, in General Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medway Medical Centers Of Clearwater LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Medway Medical Centers Of Clearwater LLC was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.