Active NPI
Richard Anthony Presutti, MD
- Pediatrics Physician
- Coral Springs, FL
National Provider Identifier
1467450874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME22496
- Practice address
- 9750 NW 33Rd St
#216
Coral Springs, FL 33065-4042 - Phone
- (954) 752-8446
- Fax
- (954) 752-8464
- NPI assigned
- Jul 9, 2005
- Last updated
- Nov 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME22496 | FL | Primary |
Addresses
Primary practice location
9750 NW 33Rd St
#216
Coral Springs, FL 33065-4042
Mailing address
11424 Ohanu Cir
Boynton Beach, FL 33437-7031
Phone (954) 752-8446
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035451100 | Medicaid | FL | |
| 93150 | Other | FL | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME22496 | FL | MD | Pediatrics Physician |
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.
-
- Pediatrics Physician
- Coral Springs, FL
- NPI 1972858801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1467450874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11424 OHANU CIR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334377031",
"telephone_number": "954-752-8446",
"fax_number": "954-752-8464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9750 NW 33RD ST",
"address_2": "#216",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330654042",
"telephone_number": "954-752-8446",
"fax_number": "954-752-8464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESUTTI",
"first_name": "RICHARD",
"middle_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-09",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME22496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035451100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "93150",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.