BAY AREA DIRECT CLIENT CARE LLC — NPI 1356835862 (Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) in BRANDON, FL)

CMS-1500 Box 24J / 33a • NPI

1356835862

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207RI0001X (CMS 11)

Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)

Box 32 Service Location & ZIP+4

110 LITHIA PINECREST RD STE B, BRANDON, FL, 33511-5300

✓ 9-Digit EDI 837 ZIP+4 (33511-5300)

Practice Phone & Referral Fax

(813) 679-5122

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1356835862 (BAY AREA DIRECT CLIENT CARE LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1356835862` (NPI-2 Organization / Facility)
Provider / Legal Name	BAY AREA DIRECT CLIENT CARE LLC
Plain-English Specialty	Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: `207RI0001X` (Internal Medicine, Clinical & Laboratory Immunology)
Certifying / Licensing Body	American Board of Internal Medicine (ABIM)
Practice Location Address	110 LITHIA PINECREST RD STE B, BRANDON, FL, 33511-5300
Practice Telephone / Fax	Tel: (813) 679-5122
Administrative Mailing Address	2105 ROANOKE SPRINGS DR, RUSKIN, FL, 33570-6312
Enumeration & Last Sync	Enumerated: 2018-06-18 \| CMS Record Updated: 2021-06-11
Authorized Official	DESHAE MARTIN (Administrative Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

110 LITHIA PINECREST RD STE B, BRANDON, FL, 33511-5300

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Plain-English Taxonomy & CMS Crosswalk (207RI0001X)

What Does Taxonomy Code 207RI0001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RI0001X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BAY AREA DIRECT CLIENT CARE LLC)

Typical CPT / Diagnostic Procedures:

Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
Preoperative Medical Risk Assessment & Cardiac Clearance
Chronic Kidney, Hepatic & Metabolic Panel Interpretation
Adult Inpatient Hospitalist Management & Discharge Coordination

Common Therapeutic Classes:

Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`373H00000X` — Day Training/Habilitation Specialist Plain English: Licensed & Credentialed Day Training/Habilitation Specialist	State: FL \| License: `Verified` \| Primary: Secondary
`251E00000X` — Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`251J00000X` — Nursing Care Plain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)	State: N/A \| License: `Verified` \| Primary: Secondary
`313M00000X` — Nursing Facility/Intermediate Care Facility Plain English: Licensed & Credentialed Nursing and Custodial Care Facilities — Nursing Facility	State: N/A \| License: `Verified` \| Primary: Secondary
`320900000X` — Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Plain English: Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	State: N/A \| License: `Verified` \| Primary: Secondary
`385HR2060X` — Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child Plain English: Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	State: N/A \| License: `Verified` \| Primary: Secondary
`207RI0001X` — Internal Medicine, Clinical & Laboratory Immunology Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BAY AREA DIRECT CLIENT CARE LLC (NPI #1356835862)