Active NPI
Domenica Marcantonio, MD
- Emergency Medicine Physician
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME111770
- Practice address
- 1431 SW 1St Ave
Ocala, FL 34471 - Phone
- (352) 401-1000
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME111770 | FL | Primary |
| Emergency Medicine Physician | 207P00000X | 0101245230 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116018214 | VA |
Addresses
Primary practice location
1431 SW 1St Ave
Ocala, FL 34471
Mailing address
1090 NE 84TH St
Miami, FL 33138-3420
Phone (352) 401-1000
Other practice location 1
1090 NE 84th St
Miami, FL 33138-3420
Phone (757) 739-5187
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004444400 | Medicaid | FL | |
| 14J65 | Other | FL | BCBS |
| 1033310412 | Medicaid | VA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Eastern Virginia Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 681-5551
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116018214 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Inphynet Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| VA-I Medical Services PC | Past | Accepting new patients | |
| Ehra Medical Services of Virginia, PC | Emergency Medicine | Past | Accepting new patients |
| Columbia Healthcare of Central Virginia Inc | Past | Accepting new patients | |
| Sheridan Emergency Physician Services of Virginia, Inc | Emergency Medicine | Past | Accepting new patients |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
9820 Hutchinson Park Dr
Jacksonville, FL 32225
Phone (904) 450-6740
8083 Parramore Rd
Jacksonville, FL 32244
Phone (904) 450-6760
600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- domenica.marcantonio.1@12410.direct.athenahealth.com
Organizations & group practices 13
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Saint Johns, FL
- NPI 1073200069
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Plastic Surgery Physician
- Richmond, VA
- NPI 1417946450
-
- Emergency Medicine Physician
- Fredericksburg, VA
- NPI 1437443967
-
- Emergency Medicine Physician
- Fredericksburg, VA
- NPI 1013239797
-
- Nurse Practitioner
- Fredericksburg, VA
- NPI 1316231855
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1134475999
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brandon, FL
- NPI 1669427258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1033310412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 NE 84TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331383420",
"telephone_number": "352-401-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 SW 1ST AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "34471",
"telephone_number": "352-401-1000"
}
],
"practiceLocations": [
{
"address_1": "1090 NE 84th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331383420",
"country_code": "US",
"telephone_number": "757-739-5187",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCANTONIO",
"first_name": "DOMENICA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME111770",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101245230",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116018214",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004444400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "14J65",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033310412",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.