Celestino Palomino, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME0047773 Issued in FL

Practice address

3701 Manatee Ave W
Bradenton, FL 34205-1711

Phone

(941) 746-5840

Fax

(941) 745-3591

NPI assigned

May 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Merit-based Incentive Payment System (MIPS)

Final score

96.26 of 100Reported as group

Quality

82.51

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Manatee Kidney Diseases Consultants

  • Nephrology Physician
  • Bradenton, FL
  • NPI 1043335813
  Medicare reassignment NPD
• Ara-Sun City Dialysis LLC

  dba Cypress Creek Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ruskin, FL
  • NPI 1972615573
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215989256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342051711",
            "telephone_number": "941-746-5840",
            "fax_number": "941-745-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342051711",
            "telephone_number": "941-746-5840",
            "fax_number": "941-745-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMINO",
        "first_name": "CELESTINO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0047773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044601700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "201151",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NUMBER",
            "identifier": "427181",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palm Coast Eyewear, LLC
• Palm Grove Speech Therapy LLC
• Palma Sola Neurology Associates
• Palma Sola Therapies LLC
• Jonathan Joseph Palmer, PHARMD
• Jeremy D Palubin, DPT
• Pamela S Bowyer Inc
• Esdras Moises Panchame Pavon, MD
• Marion M Pandiscio, MD
• Prashant Pandya, D.M.D.

• Nephrology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Nephrology Physician in Florida

• 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.