Individual provider Active NPI

Patrick Delsanto, D.O.

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1275983017
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS15201 Issued in FL
Practice address
603 7TH St S Ste 400
Saint Petersburg, FL 33701-4734
Phone
(727) 553-7420
Fax
(727) 553-7419
NPI assigned
Jun 13, 2016
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS15201 FL Primary

Addresses

Primary practice location

603 7TH St S Ste 400
Saint Petersburg, FL 33701-4734

Mailing address

603 7TH St S Ste 340
Saint Petersburg, FL 33701-4732
Phone (727) 893-6815

Other practice location 1

2200 16th St N
St Petersburg, FL 33704-3106
Phone (727) 893-6201

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
I20190822004247 FL Practitioner - Family Practice 5597059873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

Practice addresses (Care Compare)

2200 16TH St N
St Petersburg, FL 33704-3106
Phone (727) 893-6201

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS15201FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Ohi West Medical Group, LLC CurrentSince Oct 1, 2020 Accepting new patients
Ohi West Medical Group, LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients

Locations

2200 16th St N
St Petersburg, FL 33704
Phone (727) 822-4729

603 7th St S
Ste 340
St Petersburg, FL 33701
Phone (727) 553-7313

603 7th St S
Ste 400
St Petersburg, FL 33701
Phone (727) 553-7420

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

Interoperability endpoints

  • Direct secure messaging: pdelsanto188695@orlandohealth.medalliesdirect.net

Organizations & group practices 3

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 4

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1275983017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 7TH ST S STE 340",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014732",
            "telephone_number": "727-893-6815",
            "fax_number": "727-893-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 7TH ST S STE 400",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014734",
            "telephone_number": "727-553-7420",
            "fax_number": "727-553-7419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 16th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337043106",
            "country_code": "US",
            "telephone_number": "727-893-6201",
            "fax_number": "727-893-6202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELSANTO",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS15201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.