Mathew David Quattrocelli, DO
Individual provider Active NPI Orthopaedic Surgery Physician · Daytona Beach, FL
NPI 1447769864 · NPPES record last updated Jul 26, 2022
Key facts
- NPI
- 1447769864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- UO4863 (FL)
- Practice address
- 301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167 - Phone
- (386) 231-6000
- NPI assigned
- Sep 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Edward Via Col of Osteo Medicine-Carolinas Campus, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, Inc
Ability Health Services and Rehabilitation LP
Florida Hospital Healthcare Partners, Inc
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000
Hospital & facility affiliations
- Trilogy Home Healthcare
- Adventhealth Daytona Beach
- Adventhealth New Smyrna Beach
- Adventhealth Palm Coast Parkway
- AdventHealth Palm Coast
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 49 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220804000967 | FL | Practitioner - Orthopedic Surgery | 8325436199 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UO4863 | FL | MD | Orthopaedic Surgery Physician |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham & Womens Physicians Organization Inc | Orthopaedic Surgery | Current |
Accepting new patients |
| Florida Hospital Healthcare Partners, Inc | Current |
Accepting new patients |
Locations
305 Memorial Medical Pkwy
Ste 301
Daytona Beach, FL 32117
Phone (386) 231-4450
301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
61 Memorial Medical Pkwy
Ste 1-800A
Palm Coast, FL 32164
Phone (386) 586-1810
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
75 Francis St
Boston, MA 02115
254 2nd Ave
Needham Heights, MA 02494
Phone (781) 416-8414
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- mquattrocelli738966@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | UO4863 | ||
| Orthopaedic Surgery Physician | 207X00000X | UO4863 | FL | Yes |
Addresses
Primary practice location
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Mailing address
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Other practice location 1
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 355-5756
Other providers in Daytona Beach, FL
- Ozair Kamran Qazi
- Otakar Quadrat
- Marjory W Quammie
- Sylvia S. Quandt
- Robbin J Quarterman
- David Queally
- Genova Zenaida Quiles Colon
- Sierra M Quintero
- R Blaine Oneal DC PA
- R Steven White M D P a
All providers in Daytona Beach, FL · Orthopaedic Surgery Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.