Active NPI
Francis B Pellegrino, MD
- Family Medicine Physician
- Clermont, FL
National Provider Identifier
1730172479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME55766
- Practice address
- 1745 E Hwy 50
Suite C
Clermont, FL 34711-5037 - Phone
- (352) 394-8060
- Fax
- (352) 708-6420
- NPI assigned
- Aug 29, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME55766 | FL | Primary |
Addresses
Primary practice location
1745 E Hwy 50
Suite C
Clermont, FL 34711-5037
Mailing address
18550 US Highway 441
Ste a
Mount Dora, FL 32757-6751
Phone (727) 992-6658
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 593516436 | Other | TRICARE | |
| 054022600 | Medicaid | FL | |
| 09743 | Other | BCBS FLORIDA | |
| P00390401 | Other | RR PALMETTO GBA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Florida College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10250 SE 167TH Place Rd
Unit 5
Summerfield, FL 34491-8682
Phone (352) 307-9925
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME55766 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LRMC Urgent Care Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Lakeview Internal Medicine, PA
- Internal Medicine Physician
- Summerfield, FL
- NPI 1841484979
-
- Urgent Care Clinic/Center
- Leesburg, FL
- NPI 1598841389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1730172479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18550 US HIGHWAY 441",
"address_2": "STE A",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327576751",
"telephone_number": "727-992-6658",
"fax_number": "352-503-0663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 E HWY 50",
"address_2": "SUITE C",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347115037",
"telephone_number": "352-394-8060",
"fax_number": "352-708-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLEGRINO",
"first_name": "FRANCIS",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-29",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME55766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "593516436",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054022600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FLORIDA",
"identifier": "09743",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR PALMETTO GBA",
"identifier": "P00390401",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.