Individual provider Active NPI

Albert Joseph Gadomski, D.C.

  • Chiropractor
  • Oldsmar, FL
National Provider Identifier
1780799353
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0005272 Issued in FL
Practice address
230 Pine Ave N
Ste B
Oldsmar, FL 34677-4677
Phone
(813) 854-1177
Fax
(813) 855-2215
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0005272 FL Primary

Addresses

Primary practice location

230 Pine Ave N
Ste B
Oldsmar, FL 34677-4677

Mailing address

230 Pine Ave N
Ste B
Oldsmar, FL 34677-4677
Phone (813) 854-1177

Other identifiers 2

IdentifierTypeStateIssuer
3811051-00MedicaidFL
22562OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090115000695 FL Practitioner - Chiropractic 5890858393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

230 Pine Ave N
Suite B
Oldsmar, FL 34677-4677
Phone (813) 854-1177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0005272FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health Center Inc Chiropractor CurrentSince Sep 2, 2008 Accepting new patients

Locations

230 Pine Ave N
Ste B
Oldsmar, FL 34677
Phone (813) 854-1177

Organizations & group practices 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1780799353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PINE AVE N",
            "address_2": "STE B",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346774677",
            "telephone_number": "813-854-1177",
            "fax_number": "813-855-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PINE AVE N",
            "address_2": "STE B",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346774677",
            "telephone_number": "813-854-1177",
            "fax_number": "813-855-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADOMSKI",
        "first_name": "ALBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3811051-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22562",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.