Individual provider Active NPI

Cecelia Constance Damask, DO

  • Otolaryngology Physician
  • Orlando, FL
National Provider Identifier
1790756955
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
OS9704 Issued in FL
Practice address
11317 Lake Underhill Rd Ste 100
Orlando, FL 32825-4452
Phone
(407) 955-4948
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X OS9704 FL
Otolaryngology Physician 207Y00000X OS9704 FL Primary

Addresses

Primary practice location

11317 Lake Underhill Rd Ste 100
Orlando, FL 32825-4452

Mailing address

15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724

Other identifiers 2

IdentifierTypeStateIssuer
89129FPMedicaidNC
19TC2OtherNCBCBS

Other names 1

  • Ceceliia Constance Baukus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, 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
I20050207000627 NC Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 7719938745
I20070305000097 FL Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 7719938745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida ENT Associates IncGroup PAC ID 4587556923, 156 clinicians

Practice addresses (Care Compare)

11317 Lake Underhill Rd
Suite 100
Orlando, FL 32825-4452
Phone (407) 955-4948

160 E Lake Howard Dr
Winter Haven, FL 33881-3155
Phone (863) 299-1251

5830 Lake Underhill Rd
Orlando, FL 32807-4311
Phone (407) 658-0228

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.4 of 100Reported as group
Quality
47.82
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS9704FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida ENT Associates, Inc. Otolaryngology CurrentSince Apr 16, 2023 Accepting new patients
Cape Fear Otolaryngology, PA CurrentSince Jul 31, 2017 Accepting new patients
Florida Medical Associates LLC Past Accepting new patients

Locations

1920 Don Wickham Dr
Ste 215
Clermont, FL 34711
Phone (352) 394-8808

302 W Central Ave
Lake Wales, FL 33853
Phone (863) 421-4558

15280 NW 79th Ct
Ste 200
Miami Lakes, FL 33016

11317 Lake Underhill Rd
Ste 100
Orlando, FL 32825
Phone (407) 277-8222

11317 Lake Underhill Rd
Orlando, FL 32825
Phone 3214005254 ext. 1010

160 E Lake Howard Dr
Winter Haven, FL 33881
Phone (863) 299-1251

2053 Valleygate Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 323-9222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIGGAD/Endpoint/DIGGAD

Organizations & group practices 3

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1790756955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 NW 79TH CT STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165873",
            "telephone_number": "305-558-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11317 LAKE UNDERHILL RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254452",
            "telephone_number": "407-955-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMASK",
        "first_name": "CECELIA",
        "middle_name": "CONSTANCE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "FL",
            "license": "OS9704",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "OS9704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89129FP",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "19TC2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECELIIA",
            "last_name": "BAUKUS",
            "middle_name": "CONSTANCE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.