Thomas Anthony Abbruzzese, M.D.
Individual provider Active NPI Vascular Surgery Physician · Lakeland, FL
NPI 1689710279 · NPPES record last updated Jan 24, 2022
Key facts
- NPI
- 1689710279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- ME101072 (FL)
- Practice address
- 1654 Village Center Dr Apt 207
Lakeland, FL 33803-2892 - Phone
- (863) 738-4125
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Stanford University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- West Florida Cardiology Network, LLC
Practice addresses (Care Compare)
119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 571-9988
Hospital & facility affiliations
- HCA Florida Brandon Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080811000235 | FL | Practitioner - General Surgery |
8022182948 | Reassigns benefits to 1 organization |
| I20170112002787 | CT | Practitioner - Vascular Surgery |
8022182948 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME101072 | FL | MD | Trauma Surgery Physician |
| ME0040155 | FL | MD | Vascular Surgery Physician |
Practice roles (6 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Cardiology Network, LLC | Current |
Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Current |
Accepting new patients | |
| Hartford Hospital | Current |
Accepting new patients | |
| Bethesda Medical Associates | Past | Accepting new patients | |
| Cardiology Consultants | Past | Accepting new patients | |
| Bethesda Health Physician Group, Inc. | Past | Accepting new patients |
Locations
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
270 S Moon Ave
Brandon, FL 33511
Phone (813) 571-9988
615 Vonderburg Dr
Brandon, FL 33511
Phone (813) 421-4663
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
6006 49th St N
Ste 200
St Petersburg, FL 33709
Phone (727) 381-9696
9332 State Road 54
Ste 405
Trinity, FL 34655
Phone (727) 375-8264
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | ME101072 | FL | |
| Vascular Surgery Physician | 2086S0129X | 066920 | GA | |
| Vascular Surgery Physician | 2086S0129X | ME101072 | FL | Yes |
Addresses
Primary practice location
1654 Village Center Dr Apt 207
Lakeland, FL 33803-2892
Mailing address
1654 Village Center Dr Apt 207
Lakeland, FL 33803-2892
Phone (863) 738-4125
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | THOMAS.ABBRUZZESE@hca4.eclinicaldirectplus.com |
Other providers in Lakeland, FL
- A Tender Touch Home Care Services, LLC
- A'Dale Southern Home Living,LLC
- Aaa Medical Transport Services, Inc
- ABA Way LLC
- Lauren Abbey
- Oday Abdallah
- Ahmed Abdelkarim
- Obafunto Abimbola
- Abloom Home Care LLC
- Cindy Joann Abney
All providers in Lakeland, FL · Vascular Surgery Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.