Individual provider Active NPI

Madeline Candelario-Cosme, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Tampa, FL
National Provider Identifier
1144595406
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME123285 Issued in FL
Practice address
602 S Audubon Ave Ste a
Tampa, FL 33609-4217
Phone
(813) 931-2424
Fax
(813) 869-3148
NPI assigned
Mar 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME123285 FL Primary

Addresses

Primary practice location

602 S Audubon Ave Ste a
Tampa, FL 33609-4217

Mailing address

602 S Audubon Ave Ste a
Tampa, FL 33609-4217
Phone (813) 931-2424

Other identifiers 2

IdentifierTypeStateIssuer
AUMELOtherFLBLUE CROSS BLUE SHIELD
021326300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcandelariocosme98494@direct.tgh.org

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
I20240213001879 FL Practitioner - Endocrinology 7315219656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of South Florida College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endoone Diabetes and Endocrinology Center, LLCGroup PAC ID 9335585694, 2 clinicians

Practice addresses (Care Compare)

602 S Audubon Ave
Suite a
Tampa, FL 33609-4217
Phone (813) 437-2343

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endoone Diabetes & Endocrinology Center, LLC Endocrinology, Diabetes & Metabolism CurrentSince Dec 3, 2023 Accepting new patients
Tampa General Hospital Current Accepting new patients

Locations

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

Interoperability endpoints

  • Direct secure messaging: madeline.candelario-cosme.1@32262.direct.athenahealth.com
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mcandelariocosme98494@direct.tgh.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1144595406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S AUDUBON AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094217",
            "telephone_number": "813-931-2424",
            "fax_number": "813-869-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S AUDUBON AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094217",
            "telephone_number": "813-931-2424",
            "fax_number": "813-869-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIO-COSME",
        "first_name": "MADELINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME123285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AUMEL",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021326300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcandelariocosme98494@direct.tgh.org",
            "affiliation": "N",
            "address_1": "13330 Usf Laurel Dr",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336126601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.