Active NPI
John R Macaluso, M.D. CARDIOLOGIST
- Cardiovascular Disease Physician
- Fort Myers, FL
National Provider Identifier
1306892211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME95231
- Practice address
- 13710 Metropolis Ave Ste 108
Fort Myers, FL 33912-7144 - Phone
- (239) 306-8388
- Fax
- (239) 208-4938
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME95231 | FL | Primary |
Addresses
Primary practice location
13710 Metropolis Ave Ste 108
Fort Myers, FL 33912-7144
Mailing address
13710 Metropolis Ave Ste 108
Fort Myers, FL 33912-7144
Phone (239) 306-8388
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275676500 | Medicaid | FL | |
| P00333911 | Other | FL | RAILROAD MEDICARE |
| 01070699 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13710 Metropolis Ave
Suite 108
Fort Myers, FL 33912-7144
Phone (239) 306-8388
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunburst Cardiology LLC | Cardiovascular Disease | Current | Accepting new patients |
| Zina D. Hajduczok, M.D.P.C. | Cardiovascular Disease | Past | Accepting new patients |
Locations
13710 Metropolis Ave
Ste 108
Fort Myers, FL 33912
Phone (239) 306-8388
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/24814/brand/1/csg/1/fhir/r4
- jmacaluso4874@direct.leememorial.org
- https://fhir4.healow.com/fhir/r4/BDHJCD
- https://fhir4.healow.com/fhir/r4/BDHJCD/Endpoint/BDHJCD
Organizations & group practices 2
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.
-
dba Sunburst Cardiology
- Cardiovascular Disease Physician
- Fort Myers, FL
- NPI 1356011357
-
dba Dba Lewiston Cardiology
- Cardiovascular Disease Physician
- Lewiston, NY
- NPI 1164692778
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gulf Coast Medical Center
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
dba Lee Memorial Hospital
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
dba Cape Coral Hospital
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1306892211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13710 METROPOLIS AVE STE 108",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339127144",
"telephone_number": "239-306-8388",
"fax_number": "239-208-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13710 METROPOLIS AVE STE 108",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339127144",
"telephone_number": "239-306-8388",
"fax_number": "239-208-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACALUSO",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D. CARDIOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME95231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275676500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00333911",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01070699",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.