Active NPI
Daniel R Dziadosz, MD
- Orthopaedic Trauma Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- ME103748
- Practice address
- 603 7TH St S Ste 100
St Petersburg, FL 33701-4719 - Phone
- (727) 553-7431
- Fax
- (727) 553-7432
- NPI assigned
- Feb 18, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 302025 | NY | |
| Orthopaedic Trauma Physician | 207XX0801X | 302025 | NY | |
| Orthopaedic Trauma Physician | 207XX0801X | ME103748 | FL | Primary |
Addresses
Primary practice location
603 7TH St S Ste 100
St Petersburg, FL 33701-4719
Mailing address
603 7TH St S Ste 100
St Petersburg, FL 33701-4719
Phone (727) 553-7431
Other practice location 1
520 East 70th Street
Starr2
New York, NY 10021-9800
Phone (646) 962-2904
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 328012 | Other | FL | AVMED |
| 003162720A | Medicaid | GA | |
| 018363000 | Medicaid | FL | |
| 1186918 | Other | FL | CIGNA |
| 14515 | Other | FL | BCBS |
| 9262296 | Other | FL | AETNA |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ddziadosz116507@direct.HSS.edu | Direct | |
| FHIR URL | https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Direct | |
| FHIR URL | https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 6TH St S
St Petersburg, FL 33701-4814
Phone (727) 823-1234
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.63 of 100
- Quality
- 81.86
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME103748 | FL | MD | Orthopaedic Trauma Physician |
| 302025 | NY | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Ny Society for the Relief of Ruptured & Crippled Maintaining | Orthopaedic Surgery | Current | Accepting new patients |
| Health First Physician Specialties Inc | Orthopaedic Trauma | Current | Accepting new patients |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Orthopaedic Surgery | Current | Accepting new patients |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Health First Medical Group, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Ny Society for the Relief of Ruptured & Crippled Maintaining | Orthopaedic Surgery | Current | Accepting new patients |
| Central Georiga Fertility Institute | Past | Accepting new patients | |
| Musculoskeletal Institute Chartered | Orthopaedic Surgery | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1350 Hickory St
Ste 101
Melbourne, FL 32901
Phone (321) 434-1401
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
603 7th St S
Ste 100
St Petersburg, FL 33701
Phone (727) 553-7240
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
725 6th Ave S
Ste 3200
St Petersburg, FL 33701
Phone (561) 667-2030
603 7th St S
Ste 450
St Petersburg, FL 33701
Phone (727) 822-6666
100 Town Square Pl
Ste 208
Jersey City, NJ 07310
Phone (201) 716-5850
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
200 S Orange Ave
Ste 230
Livingston, NJ 07039
Phone (973) 322-7005
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
535 E 70th St
New York, NY 10021
520 E 70th St
#2
New York, NY 10021
Phone (646) 962-2904
520 E 70th St
New York, NY 10021
Phone (212) 746-0838
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
- ddziadosz116507@direct.hss.edu
- ddziadosz71487@epicdirect.hf.org
- ddziadosz50066@lrhs.direct-ci.com
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 12
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.
-
- Cardiovascular Disease Physician
- St Petersburg, FL
- NPI 1518572551
-
- Orthopaedic Trauma Physician
- Melbourne, FL
- NPI 1336390020
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1902243488
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Orthopaedic Surgery
-
- Radiology Clinic/Center
- St Petersburg, FL
- NPI 1285240192
-
- Urgent Care Clinic/Center
- Saint Petersburg, FL
- NPI 1619583184
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Paramus, NJ
- NPI 1982004529
-
- Orthopaedic Surgery Physician
- Zephyrhills, FL
- NPI 1467305839
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1154399749
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1427024942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1609015452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 7TH ST S STE 100",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014719",
"telephone_number": "727-553-7431",
"fax_number": "727-553-7432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 7TH ST S STE 100",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014719",
"telephone_number": "727-553-7431",
"fax_number": "727-553-7432"
}
],
"practiceLocations": [
{
"address_1": "520 East 70th Street",
"address_2": "Starr2",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100219800",
"country_code": "US",
"telephone_number": "646-962-2904",
"fax_number": "646-962-0845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DZIADOSZ",
"first_name": "DANIEL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-18",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "302025",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "NY",
"license": "302025",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "FL",
"license": "ME103748",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "328012",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003162720A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018363000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1186918",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "14515",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9262296",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ddziadosz116507@direct.HSS.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "520 East 70th Street",
"address_2": "Starr2",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100219800",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "520 East 70th Street",
"address_2": "Starr2",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100219800",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "520 East 70th Street",
"address_2": "Starr2",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100219800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.