Anthony Decotis, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

ME00045093 Issued in FL

Practice address

131 Beal Pkwy NW
Fort Walton Beach, FL 32548-4358

Phone

(850) 243-8558

Fax

(850) 301-0147

NPI assigned

Apr 7, 2006

Last updated

Sep 18, 2007By the provider in NPPES

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

RheumatologyAlso: Internal Medicine

Education

Georgetown University School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anthony Decotis MD PAGroup PAC ID 9537312343, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Shalimar, FL, CCN 107240
• HCA Florida Fort Walton-Destin Hospital Hospital, Fort Walton Beach, FL, CCN 100223
• HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054
• Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292
• Fort Walton Beach Medical Center Inpatient rehabilitation facility, Fort Walton Beach, FL, CCN 10T223

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anthonydecotis@adcmdpa.allscriptsdirect.net

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.

• Anthony Decotis, M.D.,P.a.

  • Rheumatology Physician
  • Fort Walton Beach, FL
  • NPI 1881930857
  Medicare reassignment Care Compare group NPD Authorized official

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

• Centerwell Health Services (Certified), Inc.

  dba Centerwell Home Health

  • Home Health Agency
  • Shalimar, FL
  • NPI 1518991215
  Care Compare affiliation Name & address match
• Ascension Sacred Heart Emerald Coast

  • General Acute Care Hospital
  • Miramar Beach, FL
  • NPI 1558391771
  Care Compare affiliation
• Fort Walton Beach Medical Center, Inc.

  dba HCA FL Northwest Rehabilitation Ctr, A part of HCA FL Ft Walton Hosp

  • Rehabilitation Hospital Unit
  • Fort Walton Beach, FL
  • NPI 1033164926

  Inpatient rehabilitation facility

  Care Compare affiliation
• Fort Walton Beach Medical Center, Inc.

  dba HCA Florida Fort Walton-Destin Hospital

  • General Acute Care Hospital
  • Fort Walton Beach, FL
  • NPI 1639128820
  Care Compare affiliation
• Okaloosa Hospital Inc

  dba HCA Florida Twin Cities Hospital

  • General Acute Care Hospital
  • Niceville, FL
  • NPI 1891732988
  Care Compare affiliation

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1669435038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BEAL PKWY NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484358",
            "telephone_number": "850-243-8558",
            "fax_number": "850-301-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BEAL PKWY NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484358",
            "telephone_number": "850-243-8558",
            "fax_number": "850-301-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOTIS",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME00045093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047222100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor De Moya, M.D.
• David Joseph Dean, D.O.
• Kristen Dean, PA-C
• Rodrick Heath Deason, D.M.D.
• Diana Marie Decotis Smith, M.D.
• Francis C.F. Decroos, MD
• Erica Dees
• Jada Rain Delancey
• Melissa Delsid, ARNP, WHNP-BC
• Edward James Deneau, BC-HIS

• Rheumatology Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.