Individual provider Active NPI

Todd Vincent Panarese, M.D.

  • Radiation Oncology Physician
  • Merritt Island, FL
National Provider Identifier
1427125053
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME 96595 Issued in FL
Practice address
215 Cone Rd
Merritt Island, FL 32952-3114
Phone
(321) 453-7440
Fax
(321) 452-6687
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME 96595 FL Primary
Radiation Oncology Physician 2085R0001X L0481 TX

Addresses

Primary practice location

215 Cone Rd
Merritt Island, FL 32952-3114

Mailing address

PO Box 534595
Atlanta, GA 30353-4595
Phone (321) 453-7440

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
I20070822000848 FL Practitioner - Radiation Oncology 6204928294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
New York Medical College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

215 Cone Rd
Merritt Island, FL 32952-3114
Phone (561) 589-1995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.93 of 100Reported as individual
Promoting interoperability
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 96595FLMDRadiation Oncology Physician
L0481TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Centers of Brevard Inc Radiation Oncology CurrentSince May 1, 2007 Accepting new patients
Cancer Care Centers of Brevard Inc CurrentSince May 1, 2007 Accepting new patients
Osler Medical Inc Past Accepting new patients

Locations

1430 Pine St
Melbourne, FL 32901
Phone (321) 952-0898

2290 W Eau Gallie Blvd
Ste 202
Melbourne, FL 32935
Phone (321) 254-4776

240 N Wickham Rd
Ste 101
Melbourne, FL 32935
Phone (321) 752-4811

215 Cone Rd
Merritt Island, FL 32952
Phone (561) 589-1995

10 San Filippo Dr SE
Palm Bay, FL 32909
Phone (321) 752-4811

20 San Filippo Dr SE
Palm Bay, FL 32909
Phone (321) 725-8300

1048 Harvin Way
Rockledge, FL 32955
Phone (321) 636-2111

13050 US Highway 1
Sebastian, FL 32958
Phone (561) 589-1995

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: tpanarese71521@epicdirect.hf.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 and National Provider Directory roles.

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1427125053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534595",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303534595",
            "telephone_number": "321-453-7440",
            "fax_number": "321-452-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CONE RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523114",
            "telephone_number": "321-453-7440",
            "fax_number": "321-452-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANARESE",
        "first_name": "TODD",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME 96595",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "L0481",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.