Active NPI
Philip Francis Berardi, PA C
- Physician Assistant
- Ocala, FL
National Provider Identifier
1154318558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9100662
- Practice address
- 1818 SW 15TH Ave
Ocala, FL 34474-3548 - Phone
- (352) 671-4300
- Fax
- (352) 671-4393
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9100662 | FL | Primary |
Addresses
Primary practice location
1818 SW 15TH Ave
Ocala, FL 34474-3548
Mailing address
PO Box 6200
Ocala, FL 34478-6200
Phone (352) 671-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290563900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.68 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 78.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Centers Inc | Current | Accepting new patients | |
| St. Francis Physician Practices LLC | Past | Accepting new patients | |
| Medical Imaging Center of Ocala LLP | Past | Accepting new patients |
Locations
5664 SW 60th Ave
Ocala, FL 34474
Phone (352) 291-5555
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154318558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6200",
"city": "OCALA",
"state": "FL",
"postal_code": "344786200",
"telephone_number": "352-671-4300",
"fax_number": "352-671-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 SW 15TH AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344743548",
"telephone_number": "352-671-4300",
"fax_number": "352-671-4393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERARDI",
"first_name": "PHILIP",
"middle_name": "FRANCIS",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9100662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "290563900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.