Craig Depodesta, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS8042 Issued in FL

Practice address

231B Commercial Blvd
Lauderdale by the Sea, FL 33308-4441

Phone

(954) 530-1600

Fax

(954) 306-8234

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Harbor Palliative Care Services, Inc.

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1710283015
  Medicare reassignment NPD
• North Broward Hospital District

  • Community/Retail Pharmacy
  • Pompano Beach, FL
  • NPI 1699709766
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1497750376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330610132",
            "telephone_number": "954-530-1600",
            "fax_number": "954-306-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231B COMMERCIAL BLVD",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333084441",
            "telephone_number": "954-530-1600",
            "fax_number": "954-306-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPODESTA",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261110400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Depodesta, DO, PA
• Mark A Curatolo
• Curemed
• Lillian Marie Decosimo, M.D.
• William D Demartini, ED.D.
• Osvail L Dias
• William Irving Dorfman, PH.D.
• Beverly Sue Dowdle, L.M.T.
• Joseph Doyle, RPH, MBA
• Dr G'S Pharmacy Inc

• Family Medicine Physician in Lauderdale by the Sea, FL
• Providers in Lauderdale by the Sea, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.