Individual provider Active NPI

Andrew Phillip Dewolfe, M.D.

  • Cardiovascular Disease Physician
  • Safety Harbor, FL
National Provider Identifier
1235372368
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME123778 Issued in FL
Practice address
1840 Mease Dr
Suite 202
Safety Harbor, FL 34695-6602
Phone
(727) 725-6246
Fax
(727) 726-5865
NPI assigned
Apr 20, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 ME123778 FL Primary

Addresses

Primary practice location

1840 Mease Dr
Suite 202
Safety Harbor, FL 34695-6602

Mailing address

455 Pinellas St
Suite 400
Clearwater, FL 33756-3354
Phone (727) 445-1911

Other identifiers 3

IdentifierTypeStateIssuer
ME123778OtherFLFLORIDA BOARD OF MEDICINE
015114700MedicaidFL
IE953ZOtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150717001575 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1153558069 Reassigns benefits to 3 organizations
I20260508000307 PA Practitioner - Cardiovascular Disease (Cardiology) 1153558069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Miami, LM Miller School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Consultants of Philadelphia PCGroup PAC ID 5294620746, 154 clinicians
Pinellas Ekg Interpreters IncGroup PAC ID 4385608066, 37 clinicians

Practice addresses (Care Compare)

1703 S Broad St
Suite 300
Philadelphia, PA 19148-1536
Phone (215) 463-5333

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 462-7000

455 Pinellas St
Suite 400
Clearwater, FL 33756-3356
Phone 72744519923222

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Ekg Interpreters Inc Cardiovascular Disease CurrentSince Aug 1, 2015 Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince Aug 3, 2015 Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince Aug 3, 2015 Accepting new patients
Clearwater Cardiovascular and Interventional Consultants MD PA Cardiovascular Disease CurrentSince Aug 1, 2015 Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

455 Pinellas St
Ste 400
Clearwater, FL 33756
Phone (727) 445-1911

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

8839 Bryan Dairy Rd
Ste 300
Largo, FL 33777
Phone (727) 394-1911

1840 Mease Dr
Ste 202
Safety Harbor, FL 34695
Phone (727) 445-1911

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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 6

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": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235372368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PINELLAS ST",
            "address_2": "SUITE 400",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563354",
            "telephone_number": "727-445-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 202",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-725-6246",
            "fax_number": "727-726-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWOLFE",
        "first_name": "ANDREW",
        "middle_name": "PHILLIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-20",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME123778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF MEDICINE",
            "identifier": "ME123778",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015114700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IE953Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.