Individual provider Active NPI

Charles N Celano, MD

  • Cardiovascular Disease Physician
  • Vero Beach, FL
National Provider Identifier
1174573794
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 50599 Issued in FL
Practice address
3607 15TH Ave
Ste a
Vero Beach, FL 32960-6513
Phone
(772) 562-8522
Fax
(772) 562-0317
NPI assigned
May 12, 2006
Last updated
Oct 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME 50599 FL Primary

Addresses

Primary practice location

3607 15TH Ave
Ste a
Vero Beach, FL 32960-6513

Mailing address

3607 15TH Ave
Ste a
Vero Beach, FL 32960-6513
Phone (772) 562-8522

Other identifiers 1

IdentifierTypeStateIssuer
062571000MedicaidFL

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
I20110329000854 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2365431632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian River Cardiology, PAGroup PAC ID 7113916487, 2 clinicians

Practice addresses (Care Compare)

3607 15TH Ave
Suite a
Vero Beach, FL 32960-6513
Phone (772) 562-8522

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 50599FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Cardiology PA Cardiovascular Disease CurrentSince Jul 1, 1999 Accepting new patients

Locations

1500 36th St
Ste A
Vero Beach, FL 32960
Phone (772) 778-3251

3607 15th Ave
Ste A
Vero Beach, FL 32960
Phone (772) 562-8191

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGBECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGBECD/Endpoint/JGBECD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1174573794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 15TH AVE",
            "address_2": "STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606513",
            "telephone_number": "772-562-8522",
            "fax_number": "772-562-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 15TH AVE",
            "address_2": "STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606513",
            "telephone_number": "772-562-8522",
            "fax_number": "772-562-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELANO",
        "first_name": "CHARLES",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 50599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062571000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.