Jose Nicolas Codolosa, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME121995 Issued in FL

Practice address

5398 Park St N
St Petersburg, FL 33709-1041

Phone

(727) 544-1441

Fax

(757) 545-8263

NPI assigned

Jul 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinellas Ekg Interpreters IncGroup PAC ID 4385608066, 37 clinicians

Morton Plant Health Services IncGroup PAC ID 2163336777, 88 clinicians

Bay Area Heart Center PAGroup PAC ID 7416857180, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
• HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
• HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238
• St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (5 of 7)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: jose.codolosa.1@15915.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15915/brand/3/csg/1/fhir/r4

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.

• Bay Area Heart Center PA

  • Cardiovascular Disease Physician
  • St Petersburg, FL
  • NPI 1972595205

  Cardiovascular Disease, FL

  Medicare reassignment Care Compare group NPD
• Morton Plant Mease Health Services Inc

  • Diagnostic Radiology Physician
  • Largo, FL
  • NPI 1528049962

  FL

  Medicare reassignment Care Compare group NPD
• Pinellas Ekg Interpreters Inc

  • Cardiovascular Disease Physician
  • Clearwater, FL
  • NPI 1013952977

  Cardiovascular Disease, FL

  Medicare reassignment Care Compare group NPD
• Cardiology Interpreters Inc

  • Cardiology Technician
  • Jacksonville, FL
  • NPI 1477887149

  FL

  Medicare reassignment NPD
• Morton Plant Mease Health Services Inc

  • Diagnostic Radiology Physician
  • Safety Harbor, FL
  • NPI 1316576705
  NPD

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

• Galencare, Inc.

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1205880945

  Hospital

  Care Compare affiliation
• Largo Medical Center, Inc.

  • General Acute Care Hospital
  • Largo, FL
  • NPI 1144274879

  Hospital

  Care Compare affiliation
• Morton Plant Hospital Association Inc

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1376529743

  Hospital

  Care Compare affiliation
• St. Anthonys Hospital, Inc.

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1427024942

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1659570851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5398 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091041",
            "telephone_number": "727-544-1441",
            "fax_number": "757-545-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5398 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091041",
            "telephone_number": "727-544-1441",
            "fax_number": "757-545-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODOLOSA",
        "first_name": "JOSE",
        "middle_name": "NICOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME121995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014728800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Cobb, M.S. CCC-SLP
• Kenneth Coca, MD
• Shannon Cochran, MS, RD, LD/N
• Rares Ion Cocioba, DO, MD
• Coco and Bliss Beauty
• Michael Cody
• Coexist Doulas, LLC
• Mya Cofer
• Heather Coffel, PT, DPT
• Melinda L Coffman, APN

• All providers in St Petersburg, FL
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.

Verify at the official NPI Registry.