Active NPI
Nicholas Oswald Iannotti, MD, FACP
- Hematology & Oncology Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 0054918
- Practice address
- 1871 SE Tiffany Ave
Suite 100
Port St Lucie, FL 34952-7585 - Phone
- (772) 335-5666
- Fax
- (772) 335-4826
- NPI assigned
- Jun 6, 2006
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 0054918 | FL | Primary |
Addresses
Primary practice location
1871 SE Tiffany Ave
Suite 100
Port St Lucie, FL 34952-7585
Mailing address
1871 SE Tiffany Ave
Suite 100
Port St Lucie, FL 34952-7585
Phone (772) 335-5666
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08210 | Other | FL | BLUE CROSS BLUE SHIELD |
| 830003199 | Other | FL | RAILROAD MEDICARE |
| 0054918 | Other | FL | STATE LICENSE |
| 064733100 | Medicaid | FL |
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 Compare- Specialty
- Hematology/Oncology
- Education
- Georgetown University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1871 SE Tiffany Ave
Suite 100
Port Saint Lucie, FL 34952-7585
Phone (772) 335-5666
Hospital & facility affiliations
- Cleveland Clinic Martin North Hospital
- HCA Florida Lawnwood Hospital
- St Lucie Medical Center
- Jupiter Medical Center
- Cleveland Clinic Indian River Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.62 of 100
- Quality
- 78.28
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0054918 | FL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hem Onc Associates of the Treasure Coast, PA | Current | Accepting new patients | |
| Hem Onc Associates of the Treasure Coast, PA | Hematology & Oncology | Current | Accepting new patients |
| Visiting Nurse Services of the Treasure Coast, Inc. | Past | Accepting new patients |
Locations
2100 Nebraska Ave
Ste 107
Fort Pierce, FL 34950
Phone (561) 220-4820
1801 SE Hillmoor Dr
Ste B-101
Port St Lucie, FL 34952
Phone (772) 219-7575
1871 SE Tiffany Ave
Ste 100
Port St Lucie, FL 34952
Phone (772) 335-5666
140 SW Chamber Ct
Ste 300
Saint Lucie West, FL 34986
Phone (772) 336-2992
501 SE Osceola St
Ste 303
Stuart, FL 34994
Phone (772) 223-5982
2081 SE Ocean Blvd
Ste 2A
Stuart, FL 34996
Phone (772) 223-5982
Interoperability endpoints
- nicholas.iannotti@tcoast.ikm.direct-ci.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Visiting Nurse Association of Florida Inc | Home health agency | Corporate Director | Feb 1, 2008 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Stuart, FL
- NPI 1104829696
Corporate Director
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.
-
dba Hematology-Oncology Associates of the Treasure Coast
- Medical Oncology Physician
- Port St Lucie, FL
- NPI 1205882867
-
- Hematology & Oncology Physician
- Stuart, FL
- NPI 1477807477
-
dba VNA Plus
- Home Health Agency
- Stuart, FL
- NPI 1891798385
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida St. Lucie Hospital
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
-
dba Cleveland Clinic Indian River Hospital
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
dba HCA Florida Lawnwood Hospital
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1154360642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1871 SE TIFFANY AVE",
"address_2": "SUITE 100",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527585",
"telephone_number": "772-335-5666",
"fax_number": "772-335-4826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1871 SE TIFFANY AVE",
"address_2": "SUITE 100",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527585",
"telephone_number": "772-335-5666",
"fax_number": "772-335-4826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANNOTTI",
"first_name": "NICHOLAS",
"middle_name": "OSWALD",
"credential": "MD, FACP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "FL",
"license": "0054918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08210",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "830003199",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "0054918",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "064733100",
"state": "FL"
}
],
"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 Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.