Active NPI
Richard Raymond Caradonna, M.D.
- Medical Oncology Physician
- Brooksville, FL
National Provider Identifier
1356301733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- ME49404
- Practice address
- 11373 Cortez Blvd
Suite 200
Brooksville, FL 34613 - Phone
- (352) 597-4998
- Fax
- (352) 596-6051
- NPI assigned
- Mar 28, 2006
- Last updated
- Jul 11, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | ME49404 | FL | Primary |
Addresses
Primary practice location
11373 Cortez Blvd
Suite 200
Brooksville, FL 34613
Mailing address
14690 Spring Hill Dr
Ste 101 Attn:Credentialing
Spring Hill, FL 34609-8102
Phone (352) 799-0046
Other practice location 1
13904 Lakeshore Blvd Ste 410
Hudson, FL 34667-1772
Phone (352) 597-4998
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064662800 | Medicaid | FL | |
| 09441 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Florida Cancer Institute New Hope PA | Medical Oncology | Past | Accepting new patients |
| Florida Cancer Institute-New Hope | Medical Oncology | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- rcaradonna295943@direct.tgh.org
Organizations & group practices 3
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.
-
- Hematology & Oncology Physician
- Inverness, FL
- NPI 1649414582
Medical Oncology
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Hematology & Oncology Physician
- New Port Richey, FL
- NPI 1427017326
Medical Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1356301733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14690 SPRING HILL DR",
"address_2": "STE 101 ATTN:CREDENTIALING",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346098102",
"telephone_number": "352-799-0046",
"fax_number": "352-606-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11373 CORTEZ BLVD",
"address_2": "SUITE 200",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "34613",
"telephone_number": "352-597-4998",
"fax_number": "352-596-6051"
}
],
"practiceLocations": [
{
"address_1": "13904 Lakeshore Blvd Ste 410",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "FL",
"postal_code": "346671772",
"country_code": "US",
"telephone_number": "352-597-4998",
"fax_number": "352-596-6051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARADONNA",
"first_name": "RICHARD",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "FL",
"license": "ME49404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "064662800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09441",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.