Individual provider Active NPI

Thomas Joseph Mezzanotte, MD

  • Orthopaedic Trauma Physician
  • Kissimmee, FL
National Provider Identifier
1609841931
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
ME99006 Issued in FL
Practice address
819 E Oak St Ste a
Kissimmee, FL 34744-5842
Phone
(407) 476-0780
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X ME99006 FL Primary
Orthopaedic Trauma Physician 207XX0801X 53480 AL

Addresses

Primary practice location

819 E Oak St Ste a
Kissimmee, FL 34744-5842

Mailing address

PO Box 370
Fortson, GA 31808-0370
Phone (706) 494-3171

Other practice location 1

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

Other practice location 2

2105 E South Blvd
Montgomery, AL 36116-2409
Phone (334) 286-2991

Other identifiers 11

IdentifierTypeStateIssuer
5909955MedicaidNC
AA29228552OtherSCMEDICARE PTAN
000000245847OtherSCUNISON
1774374OtherSCCIGNA
9975193OtherSCAETNA
013OtherSCTRICARE
055OtherSCBCBS
210718OtherSCMEDCOST
311898MedicaidSC
122786700MedicaidFL
20078496OtherSCSELECT HEALTH

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
I20190430001469 FL Practitioner - Orthopedic Surgery 4486728995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians
Hughston Clinic Southeast PCGroup PAC ID 9234423971, 48 clinicians

Practice addresses (Care Compare)

410 Lionel Way
Davenport, FL 33837-7809
Phone (844) 407-4070

700 W Oak St
Osceola Regional Medical Center
Kissimmee, FL 34741-4924
Phone (407) 846-2266

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53480ALMDOrthopaedic Trauma Physician
ME99006FLMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hughston Clinic Southeast PC Orthopaedic Surgery CurrentSince Apr 10, 2019 Accepting new patients
Hughston Clinic Southeast PC CurrentSince Apr 10, 2019 Accepting new patients

Locations

2173 Normandie Dr
Montgomery, AL 36111
Phone (334) 284-2355

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

3627 University Blvd S
Ste 550
Jacksonville, FL 32216
Phone (904) 379-5986

2285 N Central Ave
Unit 3
Kissimmee, FL 34741
Phone (407) 595-4983

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

819 E Oak St
Ste A
Kissimmee, FL 34744
Phone (407) 476-0780

1893 Kingsley Ave
Ste C
Orange Park, FL 32073
Phone (904) 375-8850

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

309 N Mangoustine Ave
Unit G
Sanford, FL 32771
Phone (321) 363-1754

1401 W Seminole Blvd
Fl Regi
Sanford, FL 32771
Phone (407) 302-2620

Interoperability endpoints

  • Direct secure messaging: thomas.mezzanotte.1@321.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1609841931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "telephone_number": "706-494-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 E OAK ST STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445842",
            "telephone_number": "407-476-0780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1401",
            "fax_number": "321-434-1667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2105 E South Blvd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162409",
            "country_code": "US",
            "telephone_number": "334-286-2991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEZZANOTTE",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "FL",
            "license": "ME99006",
            "primary": true
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "AL",
            "license": "53480",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909955",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA29228552",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000245847",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1774374",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9975193",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "013",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "055",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "210718",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311898",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122786700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "20078496",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.