Individual provider Active NPI

Philip Francis Berardi, PA C

  • Physician Assistant
  • Ocala, FL
National Provider Identifier
1154318558
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9100662 Issued in FL
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
290563900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Centers Inc CurrentSince Jan 22, 2001 Accepting new patients
St. Francis Physician Practices LLC PastSince Aug 4, 2025 Accepting new patients
Medical Imaging Center of Ocala LLP PastSince Feb 11, 2024 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.

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.

Verify at the official NPI Registry.