Individual provider Active NPI

Salvatore D Diloreto, MD

  • Interventional Cardiology Physician
  • Jacksonville, FL
National Provider Identifier
1780640953
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME62183 Issued in FL
Practice address
820 Prudential Dr Ste 112
Credentialing Department
Jacksonville, FL 32207-8204
Phone
(904) 396-5996
Fax
(904) 398-2480
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME62183 FL
Nuclear Medicine Physician 207U00000X ME62183 FL
Interventional Cardiology Physician 207RI0011X ME62183 FL Primary

Addresses

Primary practice location

820 Prudential Dr Ste 112
Credentialing Department
Jacksonville, FL 32207-8204

Mailing address

PO Box 43667
Jacksonville, FL 32203-3667
Phone (904) 398-3760

Other identifiers 1

IdentifierTypeStateIssuer
374015300MedicaidFL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020000570 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5991998171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Medical University of South Carolina College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Cardiology, Inc.Group PAC ID 2466614581, 98 clinicians

Practice addresses (Care Compare)

836 Prudential Dr
Suite 1700
Jacksonville, FL 32207-8344
Phone (904) 398-0125

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME62183FLMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Cardiology, Inc. Cardiovascular Disease CurrentSince May 1, 2012 Accepting new patients
Ecg Associates of Jacksonville P a CurrentSince Oct 1, 2002 Accepting new patients
Southern Heart Group, P.a. Past Accepting new patients
Memorial Ekg Associates Past Accepting new patients
Southern Heart Group Cardiovascular Disease PastSince Sep 26, 2012 Accepting new patients

Locations

1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087

1348 S 18th St
Ste 200
Fernandina Beach, FL 32034
Phone (904) 202-6683

836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125

3599 University Blvd S
Ste 1106
Jacksonville, FL 32216
Phone (904) 398-3760

820 Prudential Dr
Ste 615
Jacksonville, FL 32207

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

820 Prudential Dr
Ste 112
Jacksonville, FL 32207
Phone (904) 396-5996

Interoperability endpoints

  • Direct secure messaging: sdiloreto28132@baptisthealthsystemjacksonville.direct-ci.com

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.

Hospital & facility affiliations 5

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1780640953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43667",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322033667",
            "telephone_number": "904-398-3760",
            "fax_number": "904-398-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR STE 112",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078204",
            "telephone_number": "904-396-5996",
            "fax_number": "904-398-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILORETO",
        "first_name": "SALVATORE",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME62183",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "FL",
            "license": "ME62183",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME62183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374015300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.