NPIMap

Individual provider Active NPI

Antonio Decarli, M.D.

  • Gastroenterology Physician
  • New Smyrna Beach, FL
National Provider Identifier
1376644328
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
82935 Issued in FL
Practice address
1722 State Road 44
New Smyrna Beach, FL 32168-8339
Phone
(386) 427-0390
Fax
(386) 427-0394
NPI assigned
Sep 25, 2006
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 82935 FL Primary

Addresses

Primary practice location

1722 State Road 44
New Smyrna Beach, FL 32168-8339

Mailing address

PO Box 2616
New Smyrna Beach, FL 32170-2616
Phone (386) 427-0390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031121000717 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 3678477569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

1722 State Rd
Suite 44
New Smyrna Beach, FL 32168-8339
Phone (386) 427-0390

3661 S Miami Ave
Miami, FL 33133-4214
Phone (305) 856-7333

7243 Della Dr
Orlando, FL 32819-5104
Phone (305) 468-4185

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy149
Upper gastrointestinal (GI) endoscopy for acid reflux241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82935FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC Gastroenterology CurrentSince Aug 3, 2021 Accepting new patients
Gastro Health LLC Gastroenterology CurrentSince Aug 3, 2021 Accepting new patients
Gastroenterology Center of Nevada, LLP (Desai) Gastroenterology Past Accepting new patients
Hospital Internal Medicine PA Past Accepting new patients
Ajd Medical Inc Past Accepting new patients
Ajd Medical Inc Gastroenterology Past Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

1722 State Road 44
New Smyrna Beach, FL 32168
Phone (386) 427-0390

7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: antonio.decarli@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 8

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1376644328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2616",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321702616",
            "telephone_number": "386-427-0390",
            "fax_number": "386-427-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 STATE ROAD 44",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688339",
            "telephone_number": "386-427-0390",
            "fax_number": "386-427-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARLI",
        "first_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "82935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.