Individual provider Active NPI

Carlo Ponti, D.O.

  • Anesthesiology Physician
  • Coral Springs, FL
National Provider Identifier
1780813865
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DO1641 Issued in NV
Practice address
4823 NW 91St Way
Coral Springs, FL 33067-1908
Phone
(954) 702-9672
Fax
(954) 702-9672
NPI assigned
Jul 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 5101018432 MI
Anesthesiology Physician 207L00000X OS12336 FL
Anesthesiology Physician 207L00000X DO1641 NV Primary

Addresses

Primary practice location

4823 NW 91St Way
Coral Springs, FL 33067-1908

Mailing address

4823 NW 91St Way
Coral Springs, FL 33067-1908
Phone (800) 243-3839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120726000538 NV Practitioner - Anesthesiology 9537325154 Reassigns benefits to 2 organizations
I20131024000462 FL Practitioner - Anesthesiology 9537325154 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS12336FLMDAnesthesiology Physician
5101018432MIMDAnesthesiology Physician
DO1641NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Jun 16, 2024 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59 LLC CurrentSince Jul 23, 2014 Accepting new patients
Red Rock Anesthesia Consultants LLC Anesthesiology CurrentSince Jun 17, 2019 Accepting new patients
Moonlight Anesthesia, P.L. Anesthesiology CurrentSince Sep 11, 2024 Accepting new patients
Select Specialty Hospital - Palm Beach Inc. CurrentSince Jan 18, 2015 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Oct 27, 2017 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Oct 27, 2017 Accepting new patients
KND Development 59, LLC CurrentSince Jul 23, 2014 Accepting new patients
American Anesthesiology of Florida, Inc Anesthesiology CurrentSince Nov 1, 2013 Accepting new patients
American Anesthesiology of Florida, Inc Anesthesiology Current Accepting new patients
Capital Anesthesia Solutions of Florida, LLC Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Quantum Anesthesia Services PA Anesthesiology CurrentSince Sep 11, 2024 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC Anesthesiology CurrentSince Oct 1, 2020 Accepting new patients
Zen Anesthesia, LLC Anesthesiology CurrentSince Oct 1, 2019 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jun 12, 2024 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
John T Goodsell DO PC Gregory Linderer MD LTD Anesthesiology PastSince Nov 18, 2009 Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166

7431 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 689-7000

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

931 Toppino Dr
Key West, FL 33040
Phone (305) 293-1801

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

3060 Melaleuca Ln
Palm Springs, FL 33461
Phone (561) 336-7000

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

3087 E Warm Springs Rd
Ste 400
Las Vegas, NV 89120
Phone (702) 985-3216

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1780813865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4823 NW 91ST WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330671908",
            "telephone_number": "800-243-3839",
            "fax_number": "954-839-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4823 NW 91ST WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330671908",
            "telephone_number": "954-702-9672",
            "fax_number": "954-702-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTI",
        "first_name": "CARLO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101018432",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS12336",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "DO1641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.