Individual provider Active NPI

Dan Michael Sodano, M.D.

  • Cardiovascular Disease Physician
  • Safety Harbor, FL
National Provider Identifier
1063606101
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME127308 Issued in FL
Practice address
1840 Mease Dr
Suite 200
Safety Harbor, FL 34695-6602
Phone
(727) 724-8611
Fax
(727) 724-0425
NPI assigned
Aug 31, 2007
Last updated
Jan 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA08279500 NJ
Cardiovascular Disease Physician 207RC0000X ME127308 FL Primary

Addresses

Primary practice location

1840 Mease Dr
Suite 200
Safety Harbor, FL 34695-6602

Mailing address

PO Box 10744
Clearwater, FL 33757-8744
Phone (727) 532-0002

Other identifiers 2

IdentifierTypeStateIssuer
0266035MedicaidNJ
017925300MedicaidFL

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
I20160901001909 FL Practitioner - Cardiovascular Disease (Cardiology) 9638347248 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Rutgers New Jersey Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morton Plant Mease Diagnostic Cardiology LLCGroup PAC ID 0648415034, 27 clinicians
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Morton Plant Health Services IncGroup PAC ID 2163336777, 88 clinicians

Practice addresses (Care Compare)

1840 Mease Dr
Suite 200
Safety Harbor, FL 34695-6604
Phone (727) 724-8611

2102 Trinity Oaks Blvd
Trinity, FL 34655-4409
Phone (727) 372-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Ekg Interpreters Inc Cardiovascular Disease CurrentSince Jul 18, 2016 Accepting new patients
Baycare Medical Group, Inc. Cardiovascular Disease CurrentSince Jul 18, 2016 Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince May 28, 2017 Accepting new patients
Morton Plant Mease Diagnostic Cardiology LLC Cardiovascular Disease CurrentSince Jul 18, 2016 Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince May 28, 2017 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jul 18, 2016 Accepting new patients
Hamilton Infectious Disease Associates Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

455 Pinellas St
Ste 330
Clearwater, FL 33756
Phone (727) 489-2550

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

646 Virginia St
Ste 200
Dunedin, FL 34698
Phone (727) 724-0425

6633 Forest Ave
Ste 300
New Port Richey, FL 34653
Phone (727) 376-0612

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

3890 Tampa Rd
#H
Palm Harbor, FL 34684
Phone (813) 781-3164

1840 Mease Dr
Ste 200
Safety Harbor, FL 34695
Phone (727) 724-6500

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dan.sodano@direct.mybaycare.org

Organizations & group practices 7

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 6

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": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1063606101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10744",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337578744",
            "telephone_number": "727-532-0002",
            "fax_number": "727-266-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 200",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-724-8611",
            "fax_number": "727-724-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODANO",
        "first_name": "DAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08279500",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME127308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266035",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017925300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.