Individual provider Active NPI

Joseph Ingallinera, PA-C

  • Physician Assistant
  • Sarasota, FL
National Provider Identifier
1609822196
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103702 Issued in FL
Practice address
1217 S East Ave
Suite 301
Sarasota, FL 34239-2344
Phone
(941) 366-4440
Fax
(941) 366-2049
NPI assigned
May 26, 2006
Last updated
Aug 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9103702 FL Primary

Addresses

Primary practice location

1217 S East Ave
Suite 301
Sarasota, FL 34239-2344

Mailing address

1217 S East Ave
Suite 301
Sarasota, FL 34239-2344
Phone (941) 366-4440

Other identifiers 1

IdentifierTypeStateIssuer
292447100MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000507 FL Practitioner - Physician Assistant 7315943636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chris R Gelvin M D P aGroup PAC ID 6800988601, 2 clinicians

Practice addresses (Care Compare)

1217 E Ave
Suite 301
Sarasota, FL 34239-2348
Phone (941) 366-4440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: joseph.ingallinera.1@23219.direct.athenahealth.com

Organizations & group practices 2

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1609822196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 S EAST AVE",
            "address_2": "SUITE 301",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392344",
            "telephone_number": "941-366-4440",
            "fax_number": "941-366-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 S EAST AVE",
            "address_2": "SUITE 301",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392344",
            "telephone_number": "941-366-4440",
            "fax_number": "941-366-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGALLINERA",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292447100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.