Individual provider Active NPI

Cassie Maciel, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1225482409
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME162780 Issued in FL
Practice address
400 N Tampa St FL 3360215
Tampa, FL 33602-4719
Phone
(888) 803-3370
NPI assigned
Apr 14, 2016
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A167117 CA
Internal Medicine Physician 207R00000X ME162780 FL Primary

Addresses

Primary practice location

400 N Tampa St FL 3360215
Tampa, FL 33602-4719

Mailing address

PO Box 3814
Santa Barbara, CA 93130-3814
Phone (401) 440-0918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, RI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210818002391 CA Practitioner - Internal MedicinePractitioner - Hospitalist 0547553737
I20231214000315 FL Practitioner - HospitalistPractitioner - Internal Medicine 0547553737 Reassigns benefits to 2 organizations
I20240819000317 RI Practitioner - Internal MedicinePractitioner - Hospitalist 0547553737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Hofstra North Shore - Lij School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Atwood Medical Associates LTDGroup PAC ID 0941106652, 24 clinicians

Practice addresses (Care Compare)

1524 Atwood Ave
Suite 220
Johnston, RI 02919-3288
Phone (401) 272-1900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A167117CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atwood Medical Associates LTD Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Accountable Inpatient Medicine Internal Medicine CurrentSince Feb 13, 2024 Accepting new patients

Locations

8130 Lakewood Main St
Ste 103
Lakewood Ranch, FL 34202
Phone (918) 289-7085

8433 Enterprise Cir
Ste 100
Lakewood Ranch, FL 34202
Phone (941) 499-2700

1524 Atwood Ave
Ste 220
Johnston, RI 02919
Phone (401) 272-1900

Interoperability endpoints

  • Direct secure messaging: cassie.maciel@38298234388484.direct.elationemr.com

Organizations & group practices 4

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 1

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": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1225482409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3814",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931303814",
            "telephone_number": "401-440-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N TAMPA ST FL 3360215",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024719",
            "telephone_number": "888-803-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIEL",
        "first_name": "CASSIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A167117",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME162780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.