Individual provider Active NPI

Thomas Anthony Abbruzzese, M.D.

  • Vascular Surgery Physician
  • Lakeland, FL
National Provider Identifier
1689710279
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME101072 Issued in FL
Practice address
1654 Village Center Dr Apt 207
Lakeland, FL 33803-2892
Phone
(863) 738-4125
NPI assigned
Jan 30, 2007
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X ME101072 FL
Vascular Surgery Physician 2086S0129X 066920 GA
Vascular Surgery Physician 2086S0129X ME101072 FL Primary

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 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT2 enrollments
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 2

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

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: 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, LLCGroup PAC ID 8729260641, 83 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0040155FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc CurrentSince Jan 1, 2017 Accepting new patients
Hartford Hospital CurrentSince Aug 12, 2017 Accepting new patients
West Florida Cardiology Network, LLC CurrentSince Apr 13, 2020 Accepting new patients
Bethesda Medical Associates Past Accepting new patients
Bethesda Health Physician Group, Inc. Past Accepting new patients
Cardiology Consultants 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

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

270 S Moon Ave
Brandon, FL 33511
Phone (813) 571-9988

615 Vonderburg Dr
Brandon, FL 33511
Phone (813) 421-4663

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

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
  • Direct secure messaging: thomas.abbruzzese@hca4.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1689710279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 VILLAGE CENTER DR APT 207",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032892",
            "telephone_number": "863-738-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 VILLAGE CENTER DR APT 207",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032892",
            "telephone_number": "863-738-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBRUZZESE",
        "first_name": "THOMAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-01-24",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME101072",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "066920",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME101072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "THOMAS.ABBRUZZESE@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1654 Village Center Dr Apt 207",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338032892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.