Active NPI
Michael Lee Caselnova, M.D.
- Family Medicine Physician
- Temple Terrace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME 45762
- Practice address
- 12470 Telecom Dr Ste 100
Temple Terrace, FL 33637-0904 - Phone
- (813) 779-6303
- Fax
- (888) 977-1998
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11631 | MT | |
| Hospitalist Physician | 208M00000X | ME45762 | FL | |
| Family Medicine Physician | 207Q00000X | ME 45762 | FL | Primary |
Addresses
Primary practice location
12470 Telecom Dr Ste 100
Temple Terrace, FL 33637-0904
Mailing address
12470 Telecom Dr Ste 100
Temple Terrace, FL 33637-0904
Phone (813) 779-6303
Other practice location 1
7209 Green Slope Dr
Zephyrhills, FL 33541-1306
Phone (615) 778-8517
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080008869 | Other | FL | RAILROAD WORKERS MEDICARE |
| 045380300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Florida College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 728-4100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 45762 | FL | MD | Family Medicine Physician |
| 11631 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Montana P C | Family Medicine | Current | Accepting new patients |
| Pioneer Medical Group, PL | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Georgia PC | Family Medicine | Current | Accepting new patients |
| Florida Hospital Physician Group Inc | Family Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Montana - TCS PC | Family Medicine | Current | Accepting new patients |
| Inpatient Specialists of California, PC | Family Medicine | Current | Accepting new patients |
| Adventist Health System-Sunbelt Inc | Family Medicine | Past | Accepting new patients |
| Central Montana Medical Facilities, Inc. | Family Medicine | Past | Accepting new patients |
| Central Montana Medical Facilities, Inc | Past | Accepting new patients | |
| Cogent Healthcare of North Carolina, PC | Family Medicine | Past | Accepting new patients |
| St James Healthcare | Past | Accepting new patients |
Locations
13100 Fort King Rd
Dade City, FL 33525
Phone (352) 521-1100
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108
12470 Telecom Dr
Ste 100
Temple Terrace, FL 33637
Phone (813) 929-5454
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608
6748 Gall Blvd
Ste 130
Zephyrhills, FL 33542
Phone (813) 780-9900
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850
400 S Clark St
Butte, MT 59701
Phone (406) 495-7260
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
Organizations & group practices 11
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
- Missoula, MT
- NPI 1053569525
Family Medicine
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Internal Medicine Physician
- Temple Terrace, FL
- NPI 1710315775
Family Medicine
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
Family Medicine
-
- Internal Medicine Physician
- Butte, MT
- NPI 1902567183
Family Medicine
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
Family Medicine, MT
-
dba AdventHealth Medical Group Breast Surgery, Ear Nose & Throat, General Surgery at Sun N Lake
- Internal Medicine Physician
- Sebring, FL
- NPI 1164698809
Family Medicine
-
dba Central Montana Medical Center
- Critical Access Hospital
- Lewistown, MT
- NPI 1790798387
-
dba Central Montana Medical Center Clinic
- Family Medicine Physician
- Lewistown, MT
- NPI 1497868814
-
- Internal Medicine Physician
- Rocky Mount, NC
- NPI 1548207483
Family Medicine
-
dba Intermountain Health St James Hospital
- General Acute Care Hospital
- Butte, MT
- NPI 1528037215
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health St James Hospital
- General Acute Care Hospital
- Butte, MT
- NPI 1528037215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1689696833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12470 TELECOM DR STE 100",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370904",
"telephone_number": "813-779-6303",
"fax_number": "888-977-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12470 TELECOM DR STE 100",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370904",
"telephone_number": "813-779-6303",
"fax_number": "888-977-1998"
}
],
"practiceLocations": [
{
"address_1": "7209 Green Slope Dr",
"address_purpose": "LOCATION",
"city": "Zephyrhills",
"state": "FL",
"postal_code": "335411306",
"country_code": "US",
"telephone_number": "615-778-8517",
"fax_number": "615-628-6877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASELNOVA",
"first_name": "MICHAEL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "11631",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME45762",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 45762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD WORKERS MEDICARE",
"identifier": "080008869",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045380300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.