Anthony Joseph Allotta III, D.O.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

OS 10417 Issued in FL

Practice address

5005 Port St John Pkwy # 2100
Parrish Medical Group
Port St John, FL 32927-4305

Phone

(321) 433-2247

Fax

(321) 635-9310

NPI assigned

Jun 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Osteopathic Manipulative MedicineAlso: Sports Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Brevard Medical Support IncGroup PAC ID 7618870296, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parrish Home Health Home health agency, Titusville, FL, CCN 107488
• Parrish Medical Center Hospital, Titusville, FL, CCN 100028

Merit-based Incentive Payment System (MIPS)

Final score

86.02 of 100Reported as group

Quality

75.26

Promoting interoperability

100

Improvement activities

40

Cost

78.14

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anthony.allotta.1@17832.direct.athenahealth.com

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.

• North Brevard Medical Support, Inc

  dba Parrish Medical Group

  • Multi-Specialty Clinic/Center
  • Titusville, FL
  • NPI 1609834886
  Medicare reassignment Care Compare group NPD
• North Brevard Medical Support, Inc

  • Sports Medicine Podiatrist
  • Port St John, FL
  • NPI 1316611049
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• LHCG Lxxxii, LLC

  dba Parrish Home Health

  • Home Health Agency
  • Titusville, FL
  • NPI 1306292370
  Care Compare affiliation
• North Brevard County Hospital District

  dba Parrish Medical Center

  • General Acute Care Hospital
  • Titusville, FL
  • NPI 1053424648
  Care Compare affiliation

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1285831743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CENTURY MEDICAL DR",
            "address_2": "SUITE C",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962100",
            "telephone_number": "321-268-6264",
            "fax_number": "321-635-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 PORT ST JOHN PKWY # 2100",
            "address_2": "PARRISH MEDICAL GROUP",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329274305",
            "telephone_number": "321-433-2247",
            "fax_number": "321-635-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLOTTA",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "OS 10417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000821200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taniqua Denise Andrews, NP-C
• Brevard First Assistants, Inc.
• Brevard Orthopaedic Spine and Pain Clinic, Inc (The BACK Center)
• Keysha Brown, APRN
• Christina M Caito, D.O.

• Sports Medicine (Family Medicine) Physician in Port St John, FL
• Providers in Port St John, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.