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

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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
General Surgery
Also: Critical Care (Intensivists), Vascular 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 (83 clinicians)

Practice addresses (Care Compare)

119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 571-9988

Hospital & facility affiliations

  • HCA Florida Brandon Hospital Hospital · Brandon, FL · CCN 100243

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100 (individual)
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber 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 IDStateProvider typePAC IDDetails
I20080811000235 FL Practitioner - General Surgery
Practitioner - Vascular Surgery
Practitioner - Critical Care (Intensivists)
8022182948 Reassigns benefits to 1 organization
I20170112002787 CT Practitioner - Vascular Surgery
Practitioner - General Surgery
Practitioner - Peripheral Vascular Disease
Practitioner - Critical Care (Intensivists)
8022182948 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME101072FLMDTrauma Surgery Physician
ME0040155FLMDVascular Surgery Physician

Practice roles (6 of 8)

OrganizationSpecialtyStatusNew patients
West Florida Cardiology Network, LLC Current
since Apr 13, 2020
Accepting new patients
Hartford Healthcare Medical Group, Inc Current
since Jan 1, 2017
Accepting new patients
Hartford Hospital Current
since Aug 12, 2017
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

  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address THOMAS.ABBRUZZESE@hca4.eclinicaldirectplus.com

Other providers in Lakeland, FL

All providers in Lakeland, FL · Vascular Surgery Physician in Florida

Sources for this page

Verify at the official NPI Registry.