Active NPI
Carla Rochelle Renaldo, D.O.
- Internal Medicine Physician
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS12089
- Practice address
- 1301 2ND Ave SW
Largo, FL 33770-3120 - Phone
- (727) 581-8767
- Fax
- (727) 588-9478
- NPI assigned
- May 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS12089 | FL | Primary |
Addresses
Primary practice location
1301 2ND Ave SW
Largo, FL 33770-3120
Mailing address
6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051
Phone (727) 581-8767
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009258700 | Medicaid | FL | |
| 14R7J | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 1869
Fletcher, NC 28732
PO Box
Suite 1869
Fletcher, NC 28732-1869
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fletcher Hospital Inc. | Current | Accepting new patients | |
| Pillar Health Lifestyle Medicine, PLLC | Internal Medicine | Current | Accepting new patients |
| Wellmed Medical Management of Florida Inc | Past | Accepting new patients | |
| Shawnee Mission Medical Center Inc | Internal Medicine | Past | Accepting new patients |
Locations
15 Skyland Inn Dr
Fl 3
Arden, NC 28704
Phone (828) 654-5001
80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Hendersonville, NC
- NPI 1548125040
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1033395397
-
- Family Medicine Physician
- Merriam, KS
- NPI 1992735690
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
-
- General Acute Care Hospital
- Hendersonville, NC
- NPI 1144247982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1649598111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 400",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262051",
"telephone_number": "727-581-8767",
"fax_number": "727-588-9478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 2ND AVE SW",
"city": "LARGO",
"state": "FL",
"postal_code": "337703120",
"telephone_number": "727-581-8767",
"fax_number": "727-588-9478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENALDO",
"first_name": "CARLA",
"middle_name": "ROCHELLE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-09",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS12089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009258700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "14R7J",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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; Opt Out Affidavits.
- 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.