NPIMap

Organization Active NPI

Richard Degregorio MD P a

  • Specialist
  • Pinellas Park, FL
National Provider Identifier
1609934850
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0056017 Issued in FL
Legal business name
RICHARD DEGREGORIO MD P A
Practice address
8455 66TH St
Pinellas Park, FL 33781-1206
Phone
(727) 545-2339
Fax
(727) 545-0289
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Dr. Richard Degregorio, M.D.NPI 1871565051
Title
President
Phone
(727) 545-2339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0056017 FL Primary

Addresses

Primary practice location

8455 66TH St
Pinellas Park, FL 33781-1206

Mailing address

8455 66TH St
Pinellas Park, FL 33781-1206
Phone (727) 545-2339

Other identifiers 3

IdentifierTypeStateIssuer
ME0056017OtherFLMEDICAL LICENSE
P00087790OtherFLRAILROAD MEDICARE
031394700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090424000308 FL Part B Supplier - Clinic/Group Practice 0345398657 Receives reassigned benefits from 1 practitioner
Practice locations: Pinellas Park, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2085253Richard Degregorio MD PA8455 66TH St N Ste 121, Pinellas Park, FL 33781ComplianceFeb 25, 2027

National Provider Directory

National Provider Directory

Locations

8455 66th St N
Pinellas Park, FL 33781
Phone (727) 545-0109

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1609934850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 66TH ST",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337811206",
            "telephone_number": "727-545-2339",
            "fax_number": "727-545-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 66TH ST",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337811206",
            "telephone_number": "727-545-2339",
            "fax_number": "727-545-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD DEGREGORIO MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "DEGREGORIO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-545-2339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0056017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME0056017",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00087790",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031394700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.