Individual provider Active NPI

Patrick Joseph Fitzgerald, MD

  • Cardiovascular Disease Physician
  • Crestview, FL
National Provider Identifier
1306378674
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME175596 Issued in FL
Practice address
129 E Redstone Ave Ste a
Crestview, FL 32539-5350
Phone
(850) 682-7212
Fax
(850) 682-0220
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME139837 FL
Internal Medicine Physician 207R00000X 01085784A IN
Internal Medicine Physician 207R00000X TRN24428 FL
Internal Medicine Physician 207R00000X ME175596 FL
Cardiovascular Disease Physician 207RC0000X ME175596 FL Primary

Addresses

Primary practice location

129 E Redstone Ave Ste a
Crestview, FL 32539-5350

Mailing address

129 E Redstone Ave Ste a
Crestview, FL 32539-5350
Phone (850) 682-7212

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pfitzgerald390975@ehrdirect.mayoclinicmsg.org
Direct Messaging Address pfitzgerald@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220805001951 IN Practitioner - Internal Medicine 8224307707 Reassigns benefits to 2 organizations
I20250731003109 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8224307707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Illinois Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Okaloosa Cardiology PAGroup PAC ID 7315920899, 9 clinicians

Practice addresses (Care Compare)

129 E Redstone Ave
Suite a
Crestview, FL 32539-5350
Phone (850) 682-7212

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME139837FLMDInternal Medicine Physician
01085784AINMDInternal Medicine Physician
ME175596FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc CurrentSince Sep 1, 2022 Accepting new patients
Access Telecare, PLLC Internal Medicine CurrentSince Dec 28, 2023 Accepting new patients
Okaloosa Cardiology P a Cardiovascular Disease CurrentSince Aug 1, 2025 Accepting new patients
Major Hospital Past Accepting new patients

Locations

129 E Redstone Ave
Ste A
Crestview, FL 32539
Phone (850) 682-7212

36468 Emerald Coast Pkwy
Ste 1101
Destin, FL 32541
Phone (850) 290-2154

1032 Mar Walt Dr
Unit 240
Fort Walton Beach, FL 32547
Phone (850) 533-0865

1032 Mar Walt Dr
Unit 110
Ft Walton Bch, FL 32547
Phone (850) 862-1753

921 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 388-4333

552 Twin Cities Blvd
Ste A
Niceville, FL 32578
Phone (850) 279-4426

5208 Reliable Pkwy
Chicago, IL 60686

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1801 Senate Blvd
Indianapolis, IN 46202
Phone (317) 929-8880

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0009543
  • Direct secure messaging: pfitzgerald@direct.iuhealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1306378674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E REDSTONE AVE STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395350",
            "telephone_number": "850-682-7212",
            "fax_number": "850-682-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E REDSTONE AVE STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395350",
            "telephone_number": "850-682-7212",
            "fax_number": "850-682-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME139837",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01085784A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN24428",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME175596",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME175596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pfitzgerald390975@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "4500 San Pablo Rd S",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322241865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pfitzgerald@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1801 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.