Individual provider Active NPI

Samuel H Dicorte Jr., M.D.

  • Family Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1518150366
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME103750 Issued in FL
Practice address
1306 Seven Springs Blvd
New Port Richey, FL 34655-5643
Phone
(727) 372-3143
Fax
(727) 372-3963
NPI assigned
Aug 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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 ME103750 FL Primary

Addresses

Primary practice location

1306 Seven Springs Blvd
New Port Richey, FL 34655-5643

Mailing address

PO Box 1728
Clearwater, FL 33757-1728
Phone (727) 532-0002

Other identifiers 2

IdentifierTypeStateIssuer
001294500MedicaidFL
P00769359OtherFLRAILROAD MEDICARE PROVIDER 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150115000328 FL Order and Referring Only - Family PracticePractitioner - Family Practice 0143366302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME103750FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Emergency Physicians Urgent Care LLC Past Accepting new patients

Networks

  • Freedom Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1518150366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1728",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337571728",
            "telephone_number": "727-532-0002",
            "fax_number": "727-532-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 SEVEN SPRINGS BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555643",
            "telephone_number": "727-372-3143",
            "fax_number": "727-372-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICORTE",
        "first_name": "SAMUEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME103750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001294500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "P00769359",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.