Anthony Saracino, MD
Individual provider Active NPI Urology Physician · Cocoa, FL
NPI 1245295997 · NPPES record last updated Apr 18, 2024
Key facts
- NPI
- 1245295997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- ME64018 (FL)
- Practice address
- 2428 Clearlake Rd BLDG K
Cocoa, FL 32922-5722 - Phone
- (321) 368-3862
- Fax
- (321) 368-3862
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Omni Healthcare, Inc
Practice addresses (Care Compare)
101 E Florida Ave
Melbourne, FL 32901-8301
Phone (321) 220-7795
1344 S Apollo Blvd
Melbourne, FL 32901-3185
765 W Nasa Blvd
Melbourne, FL 32901-1815
Phone (321) 733-5725
Hospital & facility affiliations
- Holmes Regional Medical Center
- Orlando Health Melbourne Hospital
- Kindred Hospital Melbourne
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100809000895 | FL | Practitioner - Urology | 9638219983 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME64018 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Healthcare, Inc. | Current |
Accepting new patients | |
| Omni Healthcare, Inc | Current | Accepting new patients | |
| Urologic Specialists of Central Florida PLLC | Urology | Current |
Accepting new patients |
| Abilene Advanced Eyecare Inc. | Past |
Accepting new patients | |
| Osler Medical Inc | Past | Accepting new patients | |
| Aeve, PA | Past | Accepting new patients | |
| North Brevard Medical Support, Inc | Past | Accepting new patients |
Locations
2428 Clearlake Rd
Bldg K
Cocoa, FL 32922
Phone (321) 368-3862
6619 N Wickham Rd
Melbourne, FL 32940
Phone (321) 259-9500
6300 N Wickham Rd
Ste 132B
Melbourne, FL 32940
Phone (321) 253-4032
1344 S Apollo Blvd
Ste 302
Melbourne, FL 32901
Phone (321) 309-2884
1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032
575 S Wickham Rd
Ste A
West Melbourne, FL 32904
Phone (321) 308-5060
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ECGHBD/Endpoint/ECGHBD
- anthonysaracino@ohi.allscriptsdirect.net
- asaracino71710@epicdirect.hf.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME64018 | FL | Yes |
Addresses
Primary practice location
2428 Clearlake Rd BLDG K
Cocoa, FL 32922-5722
Mailing address
2428 Clearlake Rd BLDG K
Cocoa, FL 32922-5722
Phone (321) 368-3862
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340015174 | Other | RAIL ROAD MEDICARE |
Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.