Individual provider Active NPI

Anthony Troitino, M.D.

  • Internal Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1245289552
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME165330 Issued in FL
Practice address
6692 Dickinson Ter
Port St Lucie, FL 34952-8260
Phone
(518) 331-4423
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 162591 NY
Internal Medicine Physician 207R00000X MD 039602L PA
Internal Medicine Physician 207R00000X ME165330 FL Primary

Addresses

Primary practice location

6692 Dickinson Ter
Port St Lucie, FL 34952-8260

Mailing address

6692 Dickinson Ter
Port St Lucie, FL 34952-8260
Phone (518) 331-4423

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

State licenses

LicenseStateTypeSpecialty
ME165330FLMDInternal Medicine Physician
162591NYMDInternal Medicine Physician
MD 039602LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Medical Group PC Internal Medicine PastSince Aug 1, 2001 Accepting new patients
Upstate Medical Group Internal Medicine Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1245289552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6692 DICKINSON TER",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528260",
            "telephone_number": "518-331-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6692 DICKINSON TER",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528260",
            "telephone_number": "518-331-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROITINO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "162591",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD 039602L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME165330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.