Organization Active NPI

Verimed Health Group Pasadena, LLC

  • Internal Medicine Physician
  • Saint Petersburg, FL
National Provider Identifier
1508021296
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME24494 Issued in FL
Legal business name
VERIMED HEALTH GROUP PASADENA, LLC
Practice address
7035 1St Ave S
Saint Petersburg, FL 33707-1203
Phone
(727) 345-6337
Fax
(727) 347-0403
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
Mrs. Rennee Calogero
Title
Administrator
Phone
(727) 345-6337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME24494 FL Primary

Addresses

Primary practice location

7035 1St Ave S
Saint Petersburg, FL 33707-1203

Mailing address

7035 1St Ave S
Saint Petersburg, FL 33707-1203
Phone (727) 345-6337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081015000384 FL Part B Supplier - Clinic/Group Practice 3375601610 Receives reassigned benefits from 1 practitioner
Practice locations: South Pasadena, FL

National Provider Directory

National Provider Directory

Locations

7035 1st Ave S
St Petersburg, FL 33707
Phone (727) 345-6337

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1508021296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 1ST AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337071203",
            "telephone_number": "727-345-6337",
            "fax_number": "727-347-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 1ST AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337071203",
            "telephone_number": "727-345-6337",
            "fax_number": "727-347-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERIMED HEALTH GROUP PASADENA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "CALOGERO",
        "authorized_official_first_name": "RENNEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-345-6337",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME24494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.