Individual provider Active NPI

Armando Pardillo, MD

  • Anesthesiology Physician
  • Vero Beach, FL
National Provider Identifier
1699743583
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME34986 Issued in FL
Practice address
1000 36TH St
Vero Beach, FL 32960-4862
Phone
(772) 778-9621
Fax
(772) 778-3494
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME34986 FL Primary

Addresses

Primary practice location

1000 36TH St
Vero Beach, FL 32960-4862

Mailing address

1555 Indian River Blvd
Suite B120
Vero Beach, FL 32960-7108
Phone (772) 778-9621

Other identifiers 2

IdentifierTypeStateIssuer
014121800MedicaidFL
37155377MedicaidNM

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140807002045 FL Practitioner - Anesthesiology 8820076102 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Eye Center PLLCGroup PAC ID 1355651266, 4 clinicians

Practice addresses (Care Compare)

14410 US Hwy 1
Sebastian, FL 32958-3237
Phone (772) 589-8111

Merit-based Incentive Payment System (MIPS)

Final score
91.82 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.74

Merit-based Incentive Payment System (MIPS)

Final score
78.72 of 100Reported as group
Quality
88.38
Improvement activities
40
Cost
44.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME34986FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Tampa Anesthesia Consultants Anesthesiology CurrentSince Sep 1, 2019 Accepting new patients
Riverside Eye Center PLLC CurrentSince Jun 1, 2020 Accepting new patients
Innovative Medical Staffing Solutions Inc Anesthesiology CurrentSince Jun 28, 2014 Accepting new patients
Orange City Anesthesia Services LLC Anesthesiology CurrentSince Jul 21, 2014 Accepting new patients
Riverside Surgery Center Inc Past Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

2222 S Harbor City Blvd
Ste 540
Melbourne, FL 32901
Phone (321) 541-1776

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

100 S Orange Ave
Ste 800
Orlando, FL 32801
Phone (407) 377-0251

14410 US Highway 1
Sebastian, FL 32958
Phone (561) 589-8111

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

1402 W Fletcher Ave
Tampa, FL 33612
Phone (813) 627-4723

845 37th Pl
Vero Beach, FL 32960
Phone (772) 776-0600

483 N Semoran Blvd
Winter Park, FL 32792
Phone (407) 367-0742

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1699743583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 INDIAN RIVER BLVD",
            "address_2": "SUITE B120",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607108",
            "telephone_number": "772-778-9621",
            "fax_number": "772-778-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604862",
            "telephone_number": "772-778-9621",
            "fax_number": "772-778-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDILLO",
        "first_name": "ARMANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME34986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014121800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37155377",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.