NPIMap

Individual provider Active NPI

Gerald J Fitzgerald, D.O.

  • Family Medicine Physician
  • Largo, FL
National Provider Identifier
1508050196
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0007067 Issued in FL
Practice address
12464 Indian Rocks Rd
Largo, FL 33774-3005
Phone
(727) 596-1815
Fax
(727) 593-0002
NPI assigned
Aug 28, 2007
Last updated
Jul 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0007067 FL Primary

Addresses

Primary practice location

12464 Indian Rocks Rd
Largo, FL 33774-3005

Mailing address

12464 Indian Rocks Rd
Largo, FL 33774-3005
Phone (727) 596-1815

Other identifiers 5

IdentifierTypeStateIssuer
57246OtherFLBCBS
5778427OtherFLAETNA
080124319OtherFLRAILROAD MEDICARE
811456OtherFLFIRST
0105649OtherFLUNITED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020001034 FL Practitioner - Family Practice 6002820180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12464 Indian Rocks Rd
Largo, FL 33774-3005
Phone (727) 596-5446

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Fitz Tropics Medical Associates Inc Family Medicine CurrentSince May 12, 1998 Accepting new patients
My Medical Access LLP Family Medicine PastSince Nov 1, 2011 Accepting new patients
Hans a Langschwager MD PA Past Accepting new patients

Locations

12464 Indian Rocks Rd
Largo, FL 33774
Phone (330) 998-3630

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1508050196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12464 INDIAN ROCKS RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743005",
            "telephone_number": "727-596-1815",
            "fax_number": "727-593-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12464 INDIAN ROCKS RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743005",
            "telephone_number": "727-596-1815",
            "fax_number": "727-593-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "GERALD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0007067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57246",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5778427",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080124319",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST",
            "identifier": "811456",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "0105649",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.