Individual provider Active NPI

Karla Celleri-Rew, D.O.

  • General Practice Physician
  • Largo, FL
National Provider Identifier
1508146408
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
UO2814 Issued in FL
Practice address
2025 Indian Rocks Rd S
Largo, FL 33774-1035
Phone
(727) 586-7103
Fax
(727) 585-7205
NPI assigned
Aug 23, 2011
Last updated
Aug 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X UO2814 FL Primary

Addresses

Primary practice location

2025 Indian Rocks Rd S
Largo, FL 33774-1035

Mailing address

2025 Indian Rocks Rd S
Largo, FL 33774-1035
Phone (727) 586-7103

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151029002364 FL Practitioner - Internal Medicine 1254641459 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO2814FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ama Medical Group LLC CurrentSince Oct 1, 2015 Accepting new patients

Locations

125 Patricia Ave
Ste B
Dunedin, FL 34698
Phone (727) 331-8740

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.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1508146408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 INDIAN ROCKS RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741035",
            "telephone_number": "727-586-7103",
            "fax_number": "727-585-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 INDIAN ROCKS RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741035",
            "telephone_number": "727-586-7103",
            "fax_number": "727-585-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELLERI-REW",
        "first_name": "KARLA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "UO2814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.