Individual provider Active NPI

Robert Peter D'Amico, DO

  • Family Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1154536381
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0005533 Issued in FL
Practice address
5713 Main St
New Port Richey, FL 34652-2635
Phone
(727) 848-9144
Fax
(727) 848-9145
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0005533 FL Primary

Addresses

Primary practice location

5713 Main St
New Port Richey, FL 34652-2635

Mailing address

1016 Ketzal Dr
Trinity, FL 34655-7235
Phone (727) 937-2251

Other identifiers 1

IdentifierTypeStateIssuer
374784100MedicaidFL

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0005533FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Center of Port Richey in Family Medicine Past Accepting new patients
Family Medical Center of Port Richey Family Medicine Past Accepting new patients
Robert P. D'Amico D.O.P.a. Past Accepting new patients

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1154536381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 KETZAL DR",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346557235",
            "telephone_number": "727-937-2251",
            "fax_number": "727-937-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5713 MAIN ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522635",
            "telephone_number": "727-848-9144",
            "fax_number": "727-848-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "ROBERT",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0005533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374784100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.