Individual provider Active NPI

Celestino C Neninger, MD

  • Anesthesiology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1306887179
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME 82167 Issued in FL
Practice address
7111 Fairway Dr Ste 450
Palm Beach Gardens, FL 33418-4200
Phone
(561) 623-2015
Fax
(561) 623-2032
NPI assigned
Jun 10, 2006
Last updated
Jul 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME82167 FL
Anesthesiology Physician 207L00000X ME 82167 FL Primary

Addresses

Primary practice location

7111 Fairway Dr Ste 450
Palm Beach Gardens, FL 33418-4200

Mailing address

888 Biscayne Blvd
Apt 2104
Miami, FL 33132-1550
Phone (813) 391-1089

Other identifiers 1

IdentifierTypeStateIssuer
262117700MedicaidFL

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
I20080116000787 FL Practitioner - Pain ManagementPractitioner - Interventional Pain Management 2163503046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Interventional Pain Management
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

475 Biltmore Way
Suite 307
Coral Gables, FL 33134-5749
Phone (786) 631-3570

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Celestino Neninger MD PA Anesthesiology CurrentSince Jan 9, 2016 Accepting new patients
North Pinellas Anesthesia Associates, PA Anesthesiology PastSince May 7, 2023 Accepting new patients
Gulfcoast Anesthesia Partners LLP Anesthesiology Past Accepting new patients
Metro Anesthesiology Consultants PA Anesthesiology PastSince Apr 26, 2005 Accepting new patients
Pain & Wellness Institute PA Anesthesiology PastSince Sep 1, 2015 Accepting new patients
Unicom Anesthesia Associates, PA Anesthesiology Past Accepting new patients
Dol Physicians of America PastSince May 12, 2024 Accepting new patients

Locations

475 Biltmore Way
Ste 307
Coral Gables, FL 33134
Phone (305) 445-6350

Organizations & group practices 7

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1306887179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 BISCAYNE BLVD",
            "address_2": "APT 2104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321550",
            "telephone_number": "813-391-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 FAIRWAY DR STE 450",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184200",
            "telephone_number": "561-623-2015",
            "fax_number": "561-623-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NENINGER",
        "first_name": "CELESTINO",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME82167",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME 82167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262117700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.