Individual provider Active NPI

Antonio Caos, MD

  • Gastroenterology Physician
  • Titusville, FL
National Provider Identifier
1235195165
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME36993 Issued in FL
Practice address
407 S Washington Ave Ste 1
Titusville, FL 32796-3500
Phone
(321) 385-0884
Fax
(321) 385-9578
NPI assigned
Apr 20, 2006
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME36993 FL Primary

Addresses

Primary practice location

407 S Washington Ave Ste 1
Titusville, FL 32796-3500

Mailing address

407 S Washington Ave Ste 1
Titusville, FL 32796-3500
Phone (321) 385-0884

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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Past Accepting new patients
Professional Gastroenterology & Nutrition Associates, P.a. Gastroenterology Past Accepting new patients
The Physician Network Past Accepting new patients
Pecos Valley of New Mexico, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1235195165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S WASHINGTON AVE STE 1",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963500",
            "telephone_number": "321-385-0884",
            "fax_number": "321-385-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S WASHINGTON AVE STE 1",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963500",
            "telephone_number": "321-385-0884",
            "fax_number": "321-385-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAOS",
        "first_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME36993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.