Individual provider Active NPI

Louis Joseph Pellegrino, DO

  • Anesthesiology Physician
  • Bradenton, FL
National Provider Identifier
1235690694
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS20047 Issued in FL
Practice address
2020 59TH St W
Bradenton, FL 34209-4604
Phone
(914) 792-6611
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS20047 FL Primary

Addresses

Primary practice location

2020 59TH St W
Bradenton, FL 34209-4604

Mailing address

3312 W Wyoming Cir
Tampa, FL 33611-4337
Phone (941) 720-9503

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
I20230712002748 FL Practitioner - Anesthesiology 5890110597 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Campbell Univ School of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centurion Anesthesia - FL LLCGroup PAC ID 6103205620, 106 clinicians
Bay Area Anesthesia LLCGroup PAC ID 1153385612, 42 clinicians

Practice addresses (Care Compare)

3800 Johnson St
Suite D
Hollywood, FL 33021-6052
Phone (917) 681-4963

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (954) 939-5000

8787 Bryan Dairy Rd
Suite 300
Largo, FL 33777-1252
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Anesthesia LLC Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology Current Accepting new patients
Tampa Bay Surgery Center Associates LTD CurrentSince Jul 22, 2023 Accepting new patients
James G Hankerson PA Anesthesiology CurrentSince Jul 31, 2023 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Tampa Bay Surgery Center Associates LTD Anesthesiology CurrentSince Jul 22, 2023 Accepting new patients
Bay Area Anesthesia LLC Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
Ams National LLC Anesthesiology CurrentSince Apr 14, 2025 Accepting new patients
Feinerman Anesthesia PA Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Bay Area Anesthesia LLC Anesthesiology Current Accepting new patients
Vitalmd Group Holding LLC Past Accepting new patients

Locations

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

402 Jeffords St
Clearwater, FL 33756
Phone (423) 505-2653

2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107

3800 Johnson St
Ste D
Hollywood, FL 33021
Phone (954) 237-3000

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

8500 SW 92nd St
Ste 204
Miami, FL 33156
Phone (305) 270-8944

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

983 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-5355

8787 Bryan Dairy Rd
Ste 300
Seminole, FL 33777
Phone (727) 394-5300

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

4801 N Howard Ave
Tampa, FL 33603
Phone (727) 581-4800

11811 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 357-5900

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

2020 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4055

7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 2

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1235690694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 W WYOMING CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336114337",
            "telephone_number": "941-720-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094604",
            "telephone_number": "914-792-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "LOUIS",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS20047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.