Ralph Angelo Dematteis, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

ME21255 Issued in FL

Practice address

2191 9TH Ave N
Suite 110
St Petersburg, FL 33713-7146

Phone

(727) 322-1600

NPI assigned

Mar 17, 2006

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

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.

• Professional Health Care of Pinellas LLC

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1881647253
  Medicare reassignment NPD
• Professional Health Care of Pinellas Inc.

  • Chiropractor
  • St Petersburg, FL
  • NPI 1568970903
  NPD
• Advanced Wound Systems LLC

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
  • NPI 1508054271
  NPD (past)
• St. Petersburg General Surgery LLC

  • Surgery Physician
  • St Petersburg, FL
  • NPI 1033243274
  NPD (past)
• West Florida Specialty Physicians LLC

  • Orthopaedic Surgery Physician
  • Pensacola, FL
  • NPI 1942538012
  NPD (past)
• Nautilus Health Care Group, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Kokomo, IN
  • NPI 1013234699
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1346219698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 72ND AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024716",
            "telephone_number": "727-527-8354",
            "fax_number": "727-525-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 9TH AVE N",
            "address_2": "SUITE 110",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137146",
            "telephone_number": "727-322-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMATTEIS",
        "first_name": "RALPH",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME21255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054100100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Delossantos, PHARM.D.
• Patrick Delsanto, D.O.
• Ryan Delsignore, DPT
• Destiny R Delude
• Linda Demaio, L.M.T., C.F.T.
• Renee Dematteis, PSYD
• Dominique Danielle Dement
• Mary Demersseman
• Kailyn Alyssa Demich, M.ED., CCC-SLP
• Madison Demico, BCBA

• Vascular Surgery Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.