Individual provider Active NPI

Michael J Buscemi Jr., D.O.

  • Orthopaedic Surgery Physician
  • Tampa, FL
National Provider Identifier
1255312435
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS0004785 Issued in FL
Practice address
10968 Sheldon Rd
Tampa, FL 33626-4701
Phone
(813) 926-4010
NPI assigned
Nov 7, 2005
Last updated
Dec 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS0004785 FL Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X OS4785 FL
Orthopaedic Trauma Physician 207XX0801X OS4785 FL
Pediatric Orthopaedic Surgery Physician 207XP3100X OS4785 FL

Addresses

Primary practice location

10968 Sheldon Rd
Tampa, FL 33626-4701

Mailing address

10968 Sheldon Rd
Tampa, FL 33626-4701
Phone (813) 926-4010

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
I20040827000389 FL Practitioner - Orthopedic SurgeryPractitioner - Osteopathic Manipulative Medicine 0446225023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Osteopathic Manipulative Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael J. Buscemi Jr DO PAGroup PAC ID 0244373306, 2 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

10968 Sheldon Rd
Tampa, FL 33626-4701
Phone (813) 926-4010

5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0004785FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J. Buscemi Jr DO PA Orthopaedic Surgery CurrentSince Dec 30, 2009 Accepting new patients
Frederick J McClimans DO PA Orthopaedic Surgery PastSince Dec 30, 2009 Accepting new patients

Locations

10968 Sheldon Rd
Tampa, FL 33626
Phone (813) 283-0190

2727 W Mlk Blvd
Ste 320
Tampa, FL 33607
Phone (813) 877-6748

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3420/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1255312435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10968 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264701",
            "telephone_number": "813-926-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10968 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264701",
            "telephone_number": "813-926-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCEMI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS0004785",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "FL",
            "license": "OS4785",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "FL",
            "license": "OS4785",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "FL",
            "license": "OS4785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.