Active NPI
Joseph Richard Cariello, MD
- Emergency Medicine Physician
- Port St Lucie, FL
National Provider Identifier
1124075197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME58541
- Practice address
- 1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521 - Phone
- (772) 398-3800
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME58541 | FL | Primary |
Addresses
Primary practice location
1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521
Mailing address
1863 NW 22ND St
Stuart, FL 34994-9269
Phone (772) 692-5506
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58541 | FL | MD | Pharmacist |
| ME58541 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
| Hillmoor ER SVCS Partnership | Emergency Medicine | Past | Accepting new patients |
Locations
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
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.
-
- Emergency Medicine Physician
- Punta Gorda, FL
- NPI 1376592063
-
- Emergency Medicine Physician
- Port St Lucie, FL
- NPI 1962451930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1124075197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1863 NW 22ND ST",
"city": "STUART",
"state": "FL",
"postal_code": "349949269",
"telephone_number": "772-692-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SE TIFFANY AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527521",
"telephone_number": "772-398-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARIELLO",
"first_name": "JOSEPH",
"middle_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME58541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.