NPIMap

Individual provider Active NPI

Domenick J Sorresso, M.D.

  • Pulmonary Disease Physician
  • Hudson, FL
National Provider Identifier
1013917160
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MR77399 Issued in FL
Practice address
7614 Jacque Rd Ste C
Hudson, FL 34667-7195
Phone
(727) 857-5967
Fax
(727) 857-5972
NPI assigned
Jul 29, 2005
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME77399 FL
Pulmonary Disease Physician 207RP1001X MR77399 FL Primary

Addresses

Primary practice location

7614 Jacque Rd Ste C
Hudson, FL 34667-7195

Mailing address

7614 Jacque Rd Ste C
Hudson, FL 34667-7195
Phone (727) 857-5967

Other identifiers 2

IdentifierTypeStateIssuer
257232000MedicaidFL
46527OtherBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100622000426 FL Practitioner - Pulmonary Disease 7517974843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C and D Pulmonary, P.a.Group PAC ID 4486801024, 2 clinicians

Practice addresses (Care Compare)

7614 Jacque Rd
Suite C
Hudson, FL 34667-7195
Phone (727) 857-5967

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
94.03
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME77399FLMDPulmonary Disease Physician
MR77399FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S M S DO PA Multi-Specialty Current Accepting new patients
West Pasco Pulmonary Associates, Re LP Multi-Specialty CurrentSince Apr 30, 2003 Accepting new patients
Breathe Easy Pulmonary Services Inc CurrentSince Mar 27, 2010 Accepting new patients
C & D Pulmonary, P.a. Multi-Specialty CurrentSince Jul 1, 2012 Accepting new patients
Bay Area Gastroenterology Associates LLC Multi-Specialty PastSince Jun 15, 1999 Accepting new patients

Locations

2112 Sunnydale Blvd
Ste B
Clearwater, FL 33765
Phone (727) 796-2904

7541 Medical Dr
Hudson, FL 34667
Phone (727) 416-3970

7545 Medical Dr
Hudson, FL 34667
Phone (727) 862-3548

7614 Jacque Rd
Ste C
Hudson, FL 34667
Phone (727) 857-5967

11528 US Highway 19
Port Richey, FL 34668
Phone (727) 868-2151

11528 US Highway 19
#C
Port Richey, FL 34668
Phone (727) 868-2151

Interoperability endpoints

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

Organizations & group practices 5

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1013917160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7614 JACQUE RD STE C",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677195",
            "telephone_number": "727-857-5967",
            "fax_number": "727-857-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7614 JACQUE RD STE C",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677195",
            "telephone_number": "727-857-5967",
            "fax_number": "727-857-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRESSO",
        "first_name": "DOMENICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME77399",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "MR77399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257232000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "46527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.