Individual provider Active NPI

Ann Estelle Piscitelli, MD

  • Internal Medicine Physician
  • Venice, FL
National Provider Identifier
1730285206
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME79711 Issued in FL
Practice address
1211 Jacaranda Blvd Unit 2
Venice, FL 34292-4520
Phone
(941) 483-3377
Fax
(941) 483-4687
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME79711 FL Primary

Addresses

Primary practice location

1211 Jacaranda Blvd Unit 2
Venice, FL 34292-4520

Mailing address

PO Box 25487
Sarasota, FL 34277-2487
Phone (941) 483-3377

Other identifiers 1

IdentifierTypeStateIssuer
35474OtherFLBLUE SHIELD

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
I20101028000347 FL Practitioner - Internal Medicine 5496949059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nokomis Physical Therapy LLCGroup PAC ID 8628240843, 104 clinicians
Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians
Empath Therapies LLCGroup PAC ID 5496144529, 108 clinicians

Practice addresses (Care Compare)

109 Laurel Rd E
Nokomis, FL 34275-5233
Phone (941) 375-8734

1211 Jacaranda Blvd
Unit 2
Venice, FL 34292-4520
Phone (941) 483-3377

3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746

3830 Bee Ridge Rd
Sarasota, FL 34233-1105

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Specialists LLC CurrentSince Feb 3, 2020 Accepting new patients
Florida Medical Specialists LLC Internal Medicine CurrentSince Feb 3, 2020 Accepting new patients
Florida Medical Specialists LLC Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Florida Medical Specialists LLC Internal Medicine Past Accepting new patients
Best Value Healthcare LLC Internal Medicine Past Accepting new patients

Locations

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

1211 Jacaranda Blvd
Unit 2
Venice, FL 34292
Phone (941) 483-3377

329 Nokomis Ave S
Ste F
Venice, FL 34285
Phone (941) 483-3377

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 8

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 2

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1730285206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-483-3377",
            "fax_number": "941-483-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 JACARANDA BLVD UNIT 2",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924520",
            "telephone_number": "941-483-3377",
            "fax_number": "941-483-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISCITELLI",
        "first_name": "ANN",
        "middle_name": "ESTELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME79711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "35474",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.