Jeffrey A Panozzo, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS 9974 Issued in FL

Practice address

1613 NW 136TH Ave Ste 200
Sunrise, FL 33323-2853

Phone

(954) 838-2386

Fax

(954) 851-1764

NPI assigned

Feb 6, 2006

Last updated

Sep 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: jeffrey.panozzo.md.1@8065.direct.athenahealth.com

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.

• Southwest Florida Emergency Management LLC

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1780911206
  Medicare reassignment NPD
• Thse - Marco Urgent Care LLC

  • Internal Medicine Physician
  • Marco Island, FL
  • NPI 1801125331
  Medicare reassignment NPD
• Naples Emergency Physicians LLC

  • Nurse Practitioner
  • Naples, FL
  • NPI 1598748006

  Emergency Medicine

  NPD (past)
• Mendota Community Hospital

  dba OSF Healthcare - Medical Group - Granville

  • Rural Health Clinic/Center
  • Granville, IL
  • NPI 1225877590
  NPD (past)
• Northern Illinois Emergency & Occp Med Spec

  • Emergency Care Clinic/Center
  • Melrose Park, IL
  • NPI 1881763449
  NPD (past)
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1033181847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 TURNSTONE CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198936",
            "telephone_number": "239-877-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 NW 136TH AVE STE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232853",
            "telephone_number": "954-838-2386",
            "fax_number": "954-851-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOZZO",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS 9974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083806",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geny P. Panaligan-Ke, ARNP
• Allie Maryjane Pandiscio
• Hema B. Pandit, DO
• Tanvi Pandya
• Annisah Pangandaman
• Lucylle L Pantanasse
• Chloe Elizabeth Pappas
• Adlai L Pappy, MD
• Elizabeth T. Paquette, CRNA
• Paraiso Dos Gardenias III LLC

• Emergency Medicine Physician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.