Coastal Orthopaedics and Sports Medicine

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

COASTAL ORTHOPAEDICS AND SPORTS MEDICINE

Practice address

5145 Deer Park Dr
New Port Richey, FL 34653-7013

Phone

(727) 848-1417

Fax

(727) 847-7526

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Peter David Candelora, MDNPI 1376547729

Title

Practice Owner

Phone

(727) 848-1417

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter David Candelora, MD

  • Orthopaedic Surgery Physician
  • New Port Richey, FL
  • NPI 1376547729
  Medicare reassignment Care Compare group NPD Authorized official
• Jared Andrew Shouppe

  • Orthopaedic Surgery Physician
  • New Port Richey, FL
  • NPI 1972267607
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1013969260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 DEER PARK DRIVE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34653",
            "telephone_number": "727-848-1417",
            "fax_number": "727-847-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 DEER PARK DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346537013",
            "telephone_number": "727-848-1417",
            "fax_number": "727-847-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ORTHOPAEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "CANDELORA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "727-848-1417",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD6290",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany A Cloudy
• Coastal Chiropractic and Rehab
• Coastal Communication Clinic, LLC
• Coastal Health Supplies
• Coastal Jaw Surgery of New Port Richey PA
• Coastal Smiles by Robin
• Philippa S Cobb, ARNP
• Sarah M Cobelli, BA
• Sydney Coble, MS CFY-SLP
• Heather Cochran

• Orthopaedic Surgery Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.