Individual provider Active NPI

Frank E Trogolo, MD

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1013913383
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME 89602 Issued in FL
Practice address
14540 Old Saint Augustine Rd Ste 2391
Jacksonville, FL 32258
Phone
(904) 647-6946
Fax
(844) 473-3117
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME 89602 FL Primary

Addresses

Primary practice location

14540 Old Saint Augustine Rd Ste 2391
Jacksonville, FL 32258

Mailing address

14540 Old Saint Augustine Rd Ste 2391
Jacksonville, FL 32258-7418
Phone (904) 647-6946

Other practice location 1

6879 Southpoint Dr N
Jacksonville, FL 32216-6179
Phone (904) 296-2441

Other identifiers 1

IdentifierTypeStateIssuer
270353000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frank.trogolo@togl.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322001023 FL Practitioner - Obstetrics/Gynecology 7315993441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ponce School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 89602FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Apr 1, 2019 Accepting new patients

Locations

14540 Old St Augustine Rd
Ste 2499
Jacksonville, FL 32258
Phone (904) 296-2441

14540 Old St Augustine Rd
Ste 2391
Jacksonville, FL 32258
Phone (904) 262-3372

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

Networks

  • FL HMO
  • FL PPO

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBIGBD/Endpoint/DBIGBD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1013913383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 OLD SAINT AUGUSTINE RD STE 2391",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587418",
            "telephone_number": "904-647-6946",
            "fax_number": "844-473-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 OLD SAINT AUGUSTINE RD STE 2391",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32258",
            "telephone_number": "904-647-6946",
            "fax_number": "844-473-3117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6879 Southpoint Dr N",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322166179",
            "country_code": "US",
            "telephone_number": "904-296-2441",
            "fax_number": "904-821-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROGOLO",
        "first_name": "FRANK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 89602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270353000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frank.trogolo@togl.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "14540 Old Saint Augustine Rd Ste 2391",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.