Kenneth Giacobbo, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MB05784100 Issued in NJ

Practice address

3506 Clark Rd
Sarasota, FL 34231-8408

Phone

(941) 299-0114

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_kgiacobb@landmarkhealth-direct.org

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.

• Archwell Health Medical of Florida, LLC

  • Internal Medicine Physician
  • Venice, FL
  • NPI 1497453450
  Medicare reassignment NPD
• Renzi Medical, PC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Philadelphia, PA
  • NPI 1487683272
  NPD (past)
• Renzi Medical,PC

  • Family Medicine Physician
  • Phila, PA
  • NPI 1710918149
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1689618639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318408",
            "telephone_number": "941-299-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACOBBO",
        "first_name": "KENNETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB05784100",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS007502L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karim Ghazli, CSA
• Carly Michelle Ghering
• Ghiglieri-Winchester Company
• Gaby Ghobrial, MD, PHARMD
• Ranjan P Ghose, MD
• Robert Joseph Gialanella, MD
• Brook Giannakopoulos, LMFTI
• Alessandro A Giannini, DDS
• Giovanna Marie Giannini, LAT, ATC
• Gracieuse K Gibbons

• Internal Medicine Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.