Individual provider Active NPI

Joseph Louis Covelli, MD

  • Pulmonary Disease Physician
  • Maitland, FL
National Provider Identifier
1548246366
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0022065 Issued in FL
Practice address
331 N Maitland Ave
Ste C 1
Maitland, FL 32751-4749
Phone
(407) 644-2218
Fax
(407) 644-9260
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME0022065 FL Primary

Addresses

Primary practice location

331 N Maitland Ave
Ste C 1
Maitland, FL 32751-4749

Mailing address

331 N Maitland Ave
Ste C 1
Maitland, FL 32751-4749
Phone (407) 644-2218

Other identifiers 2

IdentifierTypeStateIssuer
037894100MedicaidFL
110040480OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0022065FLMDPulmonary Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1548246366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 N MAITLAND AVE",
            "address_2": "STE C 1",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514749",
            "telephone_number": "407-644-2218",
            "fax_number": "407-644-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N MAITLAND AVE",
            "address_2": "STE C 1",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514749",
            "telephone_number": "407-644-2218",
            "fax_number": "407-644-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVELLI",
        "first_name": "JOSEPH",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0022065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037894100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110040480",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.