Individual provider Active NPI

Christopher Joseph Carniglia, PA-C

  • Medical Physician Assistant
  • Kissimmee, FL
National Provider Identifier
1427692292
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9112666 Issued in FL
Practice address
204 W Oak St
Kissimmee, FL 34741-4420
Phone
(407) 962-4447
NPI assigned
Nov 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9112666 FL Primary

Addresses

Primary practice location

204 W Oak St
Kissimmee, FL 34741-4420

Mailing address

204 W Oak St
Kissimmee, FL 34741-4420
Phone (407) 962-4447

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210507000090 FL Practitioner - Physician Assistant 3375976871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Institute of Dermatology PAGroup PAC ID 4082682059, 11 clinicians
Schweiger Dermatology Group PAGroup PAC ID 9234239757, 42 clinicians

Practice addresses (Care Compare)

171 Webb Dr
Suite 1
Davenport, FL 33837-3963
Phone (863) 386-0786

3109 Medical Way
Sebring, FL 33870-5548
Phone (863) 386-0786

410 Celebration PL
Suite 201
Celebration, FL 34747-5432
Phone (407) 566-1616

7556 Cypress Gardens Blvd
Winter Haven, FL 33884-3200
Phone (863) 488-9901

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9112666FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Osceola Endocrine Consultants, Inc CurrentSince Nov 10, 2019 Accepting new patients
Schweiger Dermatology Group PA CurrentSince Feb 1, 2026 Accepting new patients
Institute of Endocrinology Diabetes Health and Hormones CurrentSince Mar 14, 2023 Accepting new patients
Goodless Dermatology, LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

410 Celebration Pl
Ste 201
Celebration, FL 34747
Phone (407) 566-1616

204 W Oak St
Kissimmee, FL 34741
Phone (407) 962-4447

410 Celebration Pl
Ste 301
Kissimmee, FL 34747
Phone (407) 566-1616

1132 E North Blvd
Leesburg, FL 34748
Phone (352) 365-6650

8690 Point Cypress Dr
Ste 110
Orlando, FL 32836
Phone (407) 566-1616

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1427692292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414420",
            "telephone_number": "407-962-4447",
            "fax_number": "407-962-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414420",
            "telephone_number": "407-962-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNIGLIA",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-04",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9112666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.