NPIMap

Individual provider Active NPI

Romulo Juan Camogliano, M.D.

  • Internal Medicine Physician
  • The Villages, FL
National Provider Identifier
1093701310
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0068972 Issued in FL
Practice address
1400 N US Highway 441
BLDG 900 Suite 902
The Villages, FL 32159-8975
Phone
(352) 259-3435
Fax
(352) 259-3438
NPI assigned
Sep 22, 2005
Reactivated
Apr 5, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0068972 FL Primary

Addresses

Primary practice location

1400 N US Highway 441
BLDG 900 Suite 902
The Villages, FL 32159-8975

Mailing address

1400 N US Highway 441
BLDG 900 Suite 902
The Villages, FL 32159-8975
Phone (352) 259-3435

Other identifiers 8

IdentifierTypeStateIssuer
110202815OtherFLRAIL ROAD MEDICARE
2596528OtherFLGHI
27691OtherFLBLUE CROSS & BLUE SHIELD
P2621537OtherFLOXFORD
0400644OtherFLHEALTH CHOICE
27691WOtherFLMEDICARE PTAN
593591343OtherFLTAX ID
ME0068972OtherFLME LICENSE

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
I20040423001078 FL Practitioner - Internal Medicine 3577559566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

11962 County Rd
101 Suite 104
The Villages, FL 32162-9336
Phone (352) 693-3378

1400 N US Hwy 441
Suite 902
The Villages, FL 32159-6811
Phone (352) 259-3435

1400 US Hwy 441 N
BLDG 900 Suite 902
The Villages, FL 32159-6811

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Romulo J Camogliano MD PA Internal Medicine CurrentSince Sep 10, 2007 Accepting new patients
Camus Medical Practice Internal Medicine CurrentSince Jan 10, 2017 Accepting new patients

Locations

1400 N US Highway 441
Ste 902
The Villages, FL 32159
Phone (352) 259-3435

1400 N US Highway 441
Ste 904
The Villages, FL 32159
Phone (352) 259-3435

Interoperability endpoints

  • Direct secure messaging: rcamogliano562478@direct.shands.ufl.edu
  • Direct secure messaging: romulo.camogliano@rcamogliano.directbygreenway.com

Organizations & group practices 2

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093701310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441",
            "address_2": "BLDG 900 SUITE 902",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598975",
            "telephone_number": "352-259-3435",
            "fax_number": "352-259-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441",
            "address_2": "BLDG 900 SUITE 902",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598975",
            "telephone_number": "352-259-3435",
            "fax_number": "352-259-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMOGLIANO",
        "first_name": "ROMULO",
        "middle_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2023-03-07",
        "deactivation_date": "2006-04-05",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0068972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110202815",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2596528",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "27691",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2621537",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CHOICE",
            "identifier": "0400644",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "27691W",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "593591343",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME LICENSE",
            "identifier": "ME0068972",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.