NPIMap

Individual provider Active NPI

Chitradeep De, MD

  • Cardiovascular Disease Physician
  • Port Charlotte, FL
National Provider Identifier
1033354873
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME125650 Issued in FL
Practice address
3028 Caring Way Unit 4
Port Charlotte, FL 33952-5300
Phone
(941) 212-2748
Fax
(941) 328-8946
NPI assigned
Dec 9, 2008
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME125650 FL
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME125650 FL Primary

Addresses

Primary practice location

3028 Caring Way Unit 4
Port Charlotte, FL 33952-5300

Mailing address

PO Box 494127
Port Charlotte, FL 33949-4127
Phone (941) 212-2748

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
I20151214002613 FL Practitioner - Cardiovascular Disease (Cardiology) 0345439923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Associates PAGroup PAC ID 9931480993, 5 clinicians

Practice addresses (Care Compare)

3028 Caring Way
Unit 4
Port Charlotte, FL 33952-5300
Phone (941) 212-2748

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95.47
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Leg revascularization (restoring blood flow)47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME125650FLMDInternal Medicine Physician
003667NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Associates PA Single Specialty CurrentSince Sep 15, 2016 Accepting new patients
Physicians of University Hospital, PC Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Single Specialty Past Accepting new patients
Staten Island Hospitalists, PC Single Specialty Past Accepting new patients
Ny Acute Care Specialists PC Single Specialty Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Serenity Internal Medicine Single Specialty PastSince Mar 16, 2021 Accepting new patients
Richard P Carr Physical Therapy Inc Single Specialty Past Accepting new patients

Locations

3028 Caring Way
Ste 401
Port Charlotte, FL 33952

2484 Caring Way
Unit B
Pt Charlotte, FL 33952
Phone (800) 771-7164

2852 Tamiami Trl
Ste 4
Pt Charlotte, FL 33952
Phone (941) 212-2748

3028 Caring Way
Unit 4
Pt Charlotte, FL 33952
Phone (941) 212-2748

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

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

Organizations & group practices 8

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 4

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": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1033354873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494127",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339494127",
            "telephone_number": "941-212-2748",
            "fax_number": "941-328-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 CARING WAY UNIT 4",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525300",
            "telephone_number": "941-212-2748",
            "fax_number": "941-328-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE",
        "first_name": "CHITRADEEP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME125650",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME125650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.