Individual provider Active NPI

Angelo S Paola, M.D.,F.A.C.S.

  • Specialist
  • Riverview, FL
National Provider Identifier
1083600878
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME68367 Issued in FL
Practice address
6043 Winthrop Commerce Ave
Suite 201
Riverview, FL 33578-4272
Phone
(813) 685-0827
Fax
(813) 655-4204
NPI assigned
Sep 27, 2005
Last updated
Feb 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME68367 FL Primary

Addresses

Primary practice location

6043 Winthrop Commerce Ave
Suite 201
Riverview, FL 33578-4272

Mailing address

6043 Winthrop Commerce Ave
Suite 201
Riverview, FL 33578-4272
Phone (813) 685-0827

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
I20101207000510 FL Practitioner - Urology 7315011723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Urology Partners LLPGroup PAC ID 2062574924, 66 clinicians

Practice addresses (Care Compare)

1142 Bell Shoals Rd
Brandon, FL 33511-8909
Phone (813) 685-0827

12408 N 56TH St
Suite 1
Temple Terrace, FL 33617-1522
Phone (813) 980-3104

16513 S US Hwy 301
Wimauma, FL 33598-2032
Phone (813) 634-9231

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME68367FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Florida Urology Partners, LLP CurrentSince Jan 1, 2014 Accepting new patients
Naked Tree LLC PastSince Feb 6, 2022 Accepting new patients
Florida Urology Partners LLP PastSince Nov 17, 2019 Accepting new patients
Tampa General Provider Network Inc PastSince Jun 1, 2022 Accepting new patients

Locations

1142 Bell Shoals Rd
Brandon, FL 33511
Phone (813) 677-8418

1601 W Timberlane Dr
Ste 500
Plant City, FL 33566
Phone (813) 685-0827

3140 S Falkenburg Rd
Ste 203
Riverview, FL 33578
Phone (813) 850-0026

6043 Winthrop Commerce Ave
Ste 201
Riverview, FL 33578
Phone (813) 291-0629

5015 W Nassau St
Tampa, FL 33607
Phone (813) 356-0196

5523 W Cypress St
Ste 202
Tampa, FL 33607
Phone (813) 356-0196

12408 N 56th St
Ste 1
Temple Terrace, FL 33617
Phone (813) 980-3104

16513 S US Highway 301
Wimauma, FL 33598
Phone (813) 356-0196

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: apaola200327@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 5

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1083600878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 WINTHROP COMMERCE AVE",
            "address_2": "SUITE 201",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784272",
            "telephone_number": "813-685-0827",
            "fax_number": "813-655-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 WINTHROP COMMERCE AVE",
            "address_2": "SUITE 201",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784272",
            "telephone_number": "813-685-0827",
            "fax_number": "813-655-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLA",
        "first_name": "ANGELO",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME68367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.