Peter David Candelora, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME0079772 Issued in FL

Practice address

5145 Deer Park Dr
New Port Richey, FL 34653-7013

Phone

(727) 848-1417

Fax

(727) 847-7526

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialty

Orthopedic Surgery

Education

Tulane University School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Orthopaedics and Sports MedicineGroup PAC ID 3971524554, 2 clinicians

Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Primecare Home Health Home health agency, Saint Petersburg, FL, CCN 103197
• Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055
• HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Coastal Orthopaedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • New Port Richey, FL
  • NPI 1013969260
  Medicare reassignment Care Compare group NPD Authorized official
• Peter Candelora MD PA

  • Specialist
  • New Port Richey, FL
  • NPI 1023214913
  NPD (past) Authorized official
• Peter Candelora, MD, PA

  • Orthopaedic Surgery Physician
  • New Port Richey, FL
  • NPI 1801051016
  NPD (past) Authorized official

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

• New Port Richey Hospital Inc

  • General Acute Care Hospital
  • Trinity, FL
  • NPI 1891741849
  Care Compare affiliation
• Sumilang Health Care LLC

  • Home Health Agency
  • Clearwater, FL
  • NPI 1134487697
  Care Compare affiliation
• Tarpon Springs Hospital Foundation Inc

  • General Acute Care Hospital
  • Tarpon Springs, FL
  • NPI 1568473015
  Care Compare affiliation

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1376547729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 DEER PARK DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346537013",
            "telephone_number": "727-848-1417",
            "fax_number": "727-847-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 DEER PARK DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346537013",
            "telephone_number": "727-848-1417",
            "fax_number": "727-847-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELORA",
        "first_name": "PETER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0079772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063480800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Dawn Campisi, LPN
• Zoe Campman
• Can Community Health, Inc.
• Silva Canaj
• Canary Counseling Center, LLC
• Candescent Prestige LLC
• Michael A Canizio, MA
• Raina L Cannedy-Byrd
• Fay Alexander Cannon Jr., M.D.
• Laura D Cannon, FNP-C

• Orthopaedic Surgery Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.

Verify at the official NPI Registry.