NPIMap

Individual provider Active NPI

Matthew Calestino, M.D.

  • Internal Medicine Physician
  • Casselberry, FL
National Provider Identifier
1083690713
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME118584 Issued in FL
Practice address
985 State Road 436
Casselberry, FL 32707-5664
Phone
(407) 831-5252
Fax
(407) 831-3765
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301078873 MI
Hospitalist Physician 208M00000X 4301078873 MI
Internal Medicine Physician 207R00000X ME118584 FL Primary

Addresses

Primary practice location

985 State Road 436
Casselberry, FL 32707-5664

Mailing address

985 State Road 436
Casselberry, FL 32707-5664
Phone (407) 831-5252

Other identifiers 1

IdentifierTypeStateIssuer
00385012MedicaidFL

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
I20140522001382 FL Practitioner - Internal Medicine 2264466366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CFP Care Team LLCGroup PAC ID 3577751742, 22 clinicians

Practice addresses (Care Compare)

985 State Rd
Suite 436
Casselberry, FL 32707-5664
Phone (407) 831-5252

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME118584FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CFP Care Team LLC CurrentSince Jan 8, 2024 Accepting new patients
Hospitalist Medicine Physicians of Florida - Jacksonville II LLC Internal Medicine CurrentSince Mar 11, 2024 Accepting new patients
Granite State Inpatient Services Internal Medicine Past Accepting new patients
Inpatient Consultants of Michigan PC Internal Medicine Past Accepting new patients

Locations

985 State Road 436
Casselberry, FL 32707
Phone (407) 831-5252

785 S 2nd St
Defuniak Springs, FL 32435
Phone (850) 892-2176

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

5201 Curry Ford Rd
Orlando, FL 32812
Phone (407) 384-8838

2250 Indian Creek Blvd W
Vero Beach, FL 32966
Phone (772) 562-7400

1111 S Lakemont Ave
Winter Park, FL 32792
Phone (407) 647-4083

Organizations & group practices 4

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 12

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1083690713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 STATE ROAD 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075664",
            "telephone_number": "407-831-5252",
            "fax_number": "407-831-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 STATE ROAD 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075664",
            "telephone_number": "407-831-5252",
            "fax_number": "407-831-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALESTINO",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301078873",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301078873",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME118584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00385012",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.