Individual provider Active NPI

Tudor M Scridon, M.D.

  • Cardiovascular Disease Physician
  • Vero Beach, FL
National Provider Identifier
1407022395
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0094272 Issued in FL
Practice address
1300 36TH St Ste D
Vero Beach, FL 32960-4898
Phone
(772) 226-7380
Fax
(772) 212-0205
NPI assigned
May 1, 2008
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0094272 FL Primary

Addresses

Primary practice location

1300 36TH St Ste D
Vero Beach, FL 32960-4898

Mailing address

1300 36TH St Ste D
Vero Beach, FL 32960-4898
Phone (772) 226-7380

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080807000383 FL Practitioner - Cardiovascular Disease (Cardiology) 6901970086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tudor M Scridon MD PLGroup PAC ID 8224442363, 2 clinicians

Practice addresses (Care Compare)

1300 36TH St
Suite D
Vero Beach, FL 32960-4898
Phone (772) 226-7380

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0094272FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tudor M Scridon MD PL Cardiovascular Disease CurrentSince Jan 4, 2021 Accepting new patients

Locations

1300 36th St
Ste D
Vero Beach, FL 32960
Phone (772) 226-7380

787 37th St
Ste E140
Vero Beach, FL 32960
Phone (772) 299-0097

787 37th St
Ste E250
Vero Beach, FL 32960
Phone (727) 562-7546

787 37th St
Ste E260
Vero Beach, FL 32960
Phone (561) 778-1088

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

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

Organizations & group practices 1

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 4

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1407022395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 36TH ST STE D",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604898",
            "telephone_number": "772-226-7380",
            "fax_number": "772-212-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 36TH ST STE D",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604898",
            "telephone_number": "772-226-7380",
            "fax_number": "772-212-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIDON",
        "first_name": "TUDOR",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0094272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.