Individual provider Active NPI

Teresita Maria Casanova, M.D.

  • Neurology Physician
  • Atlantis, FL
National Provider Identifier
1043483217
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME114053 Issued in FL
Practice address
140 JFK Drive
Atlantis, FL 33462
Phone
(561) 968-6767
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME114053 FL Primary

Addresses

Primary practice location

140 JFK Drive
Atlantis, FL 33462

Mailing address

5700 Lake Worth Rd
Ste 204
Greenacres, FL 33463-4727
Phone (561) 966-7707

Other identifiers 1

IdentifierTypeStateIssuer
008828900MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130610000708 FL Practitioner - Neurology 8729227475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Specialists of the Palm Beaches IncGroup PAC ID 0244143758, 118 clinicians

Practice addresses (Care Compare)

140 JFK Dr
Atlantis, FL 33462-6608
Phone (561) 968-6767

Hospital & facility affiliations

  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Merit-based Incentive Payment System (MIPS)

Final score
83.92 of 100Reported as group
Quality
60.62
Promoting interoperability
100
Improvement activities
40
Cost
81.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME114053FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists of the Palm Beaches Inc CurrentSince Jul 1, 2013 Accepting new patients
Medical Specialists of the Palm Beaches Inc Neurology Past Accepting new patients
Medical Specialists of the Palm Beaches Inc Neurology Past Accepting new patients

Locations

5401 S Congress Ave
Ste 105
Atlantis, FL 33462
Phone (561) 642-8500

5700 Lake Worth Rd
Ste 204
Greenacres, FL 33463
Phone (561) 966-7707

3472 Forest Hill Blvd
Ste 2B
West Palm Beach, FL 33406
Phone (561) 964-3440

Interoperability endpoints

  • Direct secure messaging: teresita.casanova.1@11933.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1043483217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD",
            "address_2": "STE 204",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634727",
            "telephone_number": "561-966-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JFK DRIVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "33462",
            "telephone_number": "561-968-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA",
        "first_name": "TERESITA",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME114053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008828900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.