NPIMap

Organization Active NPI

Suntree Medical Associates, P.a.

  • Internal Medicine Physician
  • Rockledge, FL
National Provider Identifier
1265620744
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 55132 Issued in FL
Legal business name
SUNTREE MEDICAL ASSOCIATES, P.A.
Practice address
6420 3Rd St
Suite 104
Rockledge, FL 32955-5788
Phone
(321) 757-9711
Fax
(321) 253-1675
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Carl Dominic Saladino, M.D.NPI 1396725362
Title
Owner/President
Phone
(321) 757-9711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME 55132 FL Primary

Addresses

Primary practice location

6420 3Rd St
Suite 104
Rockledge, FL 32955-5788

Mailing address

6420 3Rd St
Suite 104
Rockledge, FL 32955-5788
Phone (321) 757-9711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041102000728 FL Part B Supplier - Clinic/Group Practice 9436111440 Receives reassigned benefits from 3 practitioners
Practice locations: Rockledge, FL
O20220303001538 FL DME Supplier - Physician - General Practice 9436111440 Practice locations: Rockledge, FL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70176

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1265620744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 3RD ST",
            "address_2": "SUITE 104",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555788",
            "telephone_number": "321-757-9711",
            "fax_number": "321-253-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 3RD ST",
            "address_2": "SUITE 104",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555788",
            "telephone_number": "321-757-9711",
            "fax_number": "321-253-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNTREE MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "SALADINO",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "321-757-9711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 55132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.