Active NPI
Karl G. Damiani, M.D.
- Infectious Disease Physician
- Port Charlotte, FL
National Provider Identifier
1497743744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME0090746
- Practice address
- 21205 Olean Blvd
Suite a
Port Charlotte, FL 33952-6756 - Phone
- (941) 613-2800
- Fax
- (941) 613-2801
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME0090746 | FL | Primary |
Addresses
Primary practice location
21205 Olean Blvd
Suite a
Port Charlotte, FL 33952-6756
Mailing address
21205 Olean Blvd
Suite a
Port Charlotte, FL 33952-6756
Phone (941) 613-2800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271223700 | Medicaid | FL | |
| K2851 | Other | FL | MEDICARE GROUP NUMBER |
| 268178100 | Other | FL | MEDICAID GROUP NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
21205 Olean Blvd
Suite a
Port Charlotte, FL 33952-6756
Phone 9416132800210
Hospital & facility affiliations
- Aveanna Home Health
- HCA Florida Fawcett Hospital
- Adventhealth Port Charlotte
- Desoto Memorial Hospital
- Sarasota Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.95 of 100
- Quality
- 80.29
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0090746 | FL | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infectious Diseases Consultants, P.a. | Infectious Disease | Current | Accepting new patients |
Locations
21205 Olean Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 613-2800
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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 and National Provider Directory roles.
-
- Infectious Disease Physician
- Port Charlotte, FL
- NPI 1043308141
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1760299093
-
- Rural Acute Care Hospital
- Arcadia, FL
- NPI 1528387842
-
- Home Health Agency
- Sarasota, FL
- NPI 1205051497
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1497743744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21205 OLEAN BLVD",
"address_2": "SUITE A",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526756",
"telephone_number": "941-613-2800",
"fax_number": "941-613-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21205 OLEAN BLVD",
"address_2": "SUITE A",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526756",
"telephone_number": "941-613-2800",
"fax_number": "941-613-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMIANI",
"first_name": "KARL",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME0090746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271223700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "K2851",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP NUMBER",
"identifier": "268178100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.