Dominic Theodore Cardelli, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

33613 Issued in WI

Practice address

2500 E Enterprise Ave Ste E
Appleton, WI 54913-8557

Phone

(920) 968-5057

Fax

(920) 968-7248

NPI assigned

Aug 7, 2006

Last updated

Nov 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Neurology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samuel Mahelona Memorial HospitalGroup PAC ID 1759271216, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Samuel Mahelona Memorial Hospital

  • Specialist
  • Kapa'a, HI
  • NPI 1346419553
  Medicare reassignment Care Compare group NPD
• Kauai Veterans Memorial Hospital

  • Critical Access Hospital
  • Waimea, HI
  • NPI 1467510743
  Medicare reassignment NPD
• Neurology Associates LLC

  • Neurology Physician
  • Appleton, WI
  • NPI 1851607170
  Authorized official Same address or phone
• Kauai Veterans Memorial Hospital

  • Specialist
  • Waimea, HI
  • NPI 1467620328
  NPD
• Samuel Mahelona Memorial Hospital

  • Psychiatric Hospital Unit
  • Kapa'a, HI
  • NPI 1255406575
  NPD
• Samuel Mahelona Memorial Hospital

  dba HHSC - Kauai Region Clinics The Clinic at Waimea

  • Rural Health Clinic/Center
  • Waimea, HI
  • NPI 1669068680
  NPD
• Samuel Mahelona Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Kapa'a, HI
  • NPI 1508927427
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1528077583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E ENTERPRISE AVE STE E",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138557",
            "telephone_number": "920-968-5057",
            "fax_number": "920-968-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E ENTERPRISE AVE STE E",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138557",
            "telephone_number": "920-968-5057",
            "fax_number": "920-968-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDELLI",
        "first_name": "DOMINIC",
        "middle_name": "THEODORE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "33613",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "38127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keegan Campbell
• Sarah C Campbell, MD
• Mikayla Cann, DNP, FNP-BC
• Kobi S Caracci, PA-C
• Riley Caracci, PHARMD
• Care and Compassion Counseling, LLC
• Carepros, LLC
• Careride Mobility LLC
• Carevo Transport LLC
• Caring Corner Home Care, Inc.

• Neurology Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.