Active NPI
Matthew Robert D'Alessandro, D.O
- Vascular Surgery Physician
- Far Rockaway, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- OS13795
- Practice address
- 5115 Beach Channel Dr
Far Rockaway, NY 11691-1042 - Phone
- (631) 734-2000
- NPI assigned
- Aug 2, 2009
- Last updated
- Jun 17, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Vascular Surgery Physician | 2086S0129X | OS13795 | FL | Primary |
Addresses
Primary practice location
5115 Beach Channel Dr
Far Rockaway, NY 11691-1042
Mailing address
2040 Seagirt Blvd
Apartment 4D
Far Rockaway, NY 11691-5935
Phone (631) 721-6145
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2231 N W Blvd a
Davenport, FL 33837-8990
Phone (863) 512-5092
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 86 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS13795 | FL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Cardiovascular Specialists LLC | Current | Accepting new patients |
Locations
2231 North Blvd W
Ste A
Davenport, FL 33837
Phone (863) 419-9301
405 Lionel Way
Davenport, FL 33837
Phone (407) 412-0111
294 Patterson Rd
Ste B
Haines City, FL 33844
Phone (407) 467-1036
320 1st St N
Winter Haven, FL 33881
Phone (646) 295-5136
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BEDGBA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Winter Haven, FL
- NPI 1043630288
-
- Cardiovascular Disease Physician
- Lake Wales, FL
- NPI 1669554283
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Heart of Florida
- General Acute Care Hospital
- Davenport, FL
- NPI 1801457510
-
dba AdventHealth Lake Wales
- General Acute Care Hospital
- Lake Wales, FL
- NPI 1053972760
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466121600000",
"number": "1750512224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 SEAGIRT BLVD",
"address_2": "APARTMENT 4D",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116915935",
"telephone_number": "631-721-6145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 BEACH CHANNEL DR",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911042",
"telephone_number": "631-734-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'ALESSANDRO",
"first_name": "MATTHEW",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-02",
"last_updated": "2016-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "OS13795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.