Individual provider Active NPI

George Wendell M. Feliciano, M.D.

  • Orthopaedic Surgery Physician
  • Clearwater, FL
National Provider Identifier
1013995711
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME161089 Issued in FL
Practice address
430 Morton Plant St Ste 301
Clearwater, FL 33756-3395
Phone
(727) 461-6026
Fax
(727) 461-1492
NPI assigned
Jan 4, 2006
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME161089 FL Primary
Orthopaedic Surgery Physician 207X00000X A91695 CA
Orthopaedic Surgery Physician 207X00000X 01061668A IN

Addresses

Primary practice location

430 Morton Plant St Ste 301
Clearwater, FL 33756-3395

Mailing address

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0915
Phone (813) 978-9700

Other identifiers 4

IdentifierTypeStateIssuer
P01134239OtherINMEDICARE RAILROAD
200821830MedicaidIN
000000485928OtherINANTHEM
000000764488OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070509000182 IN Practitioner - Orthopedic Surgery 9032146717 Reassigns benefits to 1 organization
I20230630001142 FL Practitioner - Orthopedic Surgery 9032146717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Indiana University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mastercare Physical Therapy IncGroup PAC ID 6103073499, 51 clinicians

Practice addresses (Care Compare)

3982 Bee Ridge Rd
Sarasota, FL 34233-1210
Phone (941) 377-6700

430 Morton Plant St
Suite 301
Clearwater, FL 33756-3395
Phone (813) 978-9700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement37
Knee replacement90
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91695CAMDOrthopaedic Surgery Physician
ME161089FLMDOrthopaedic Surgery Physician
01061668AINMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Orthopedic Clinic III PL Orthopaedic Surgery CurrentSince Sep 13, 2024 Accepting new patients
Musculoskeletal Institute Chartered Orthopaedic Surgery Current Accepting new patients
Musculoskeletal Institute Chartered Orthopaedic Surgery CurrentSince Aug 1, 2023 Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Sep 13, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jul 1, 2012 Accepting new patients
Musculoskeletal Institute Chartered Orthopaedic Surgery CurrentSince Aug 1, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jul 1, 2012 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2414 Enterprise Rd
Clearwater, FL 33763
Phone (727) 796-4345

2414 Enterprise Rd
Ste 301
Clearwater, FL 33763

430 Morton Plant St
Ste 301
Clearwater, FL 33756

8839 Bryan Dairy Rd
Ste 240
Largo, FL 33777
Phone 81397897007646

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 219-1932

13020 N Telecom Pkwy
Temple Terrace, FL 33637

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

5819 Reliable Pkwy
Chicago, IL 60686

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

8040 Clearvista Pkwy
Ste 500
Indianapolis, IN 46256
Phone (317) 355-8326

9669 E 146th St
Ste 148
Noblesville, IN 46060
Phone (317) 770-3700

Networks

  • FL HMO
  • FL PPO
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: george.feliciano.2@18802.direct.athenahealth.com

Organizations & group practices 9

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 7

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1013995711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370915",
            "telephone_number": "813-978-9700",
            "fax_number": "813-558-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT ST STE 301",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563395",
            "telephone_number": "727-461-6026",
            "fax_number": "727-461-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "GEORGE WENDELL",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME161089",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A91695",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01061668A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01134239",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200821830",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000485928",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000764488",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.