Stephanie Ann Caradonna, M.D.
Individual provider Active NPI Specialist · Osprey, FL
NPI 1821034828 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821034828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- ME87302 (FL)
- Practice address
- 2179 S Tamiami TRL
Suite 101
Osprey, FL 34229-9239 - Phone
- (941) 966-0222
- Fax
- (941) 966-5100
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sarasota Skin and Cancer Center Inc
Premier Dermatology, LLC
Practice addresses (Care Compare)
2179 S Tamiami Trail
Osprey, FL 34229-9608
350 S Indiana Ave
Englewood, FL 34223-3715
Phone (941) 474-8811
Hospital & facility affiliations
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 14 |
| Removal of skin lesions | 3401 |
| Removal or shaving of skin growth | 1676 |
| Skin biopsy | 1930 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031124000213 | FL | Practitioner - Dermatology | 5395649404 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Dermatology, LLC | Current |
Accepting new patients | |
| Sarasota Skin and Cancer Center Inc | Current |
Accepting new patients |
Locations
350 S Indiana Ave
Englewood, FL 34223
Phone (941) 474-8811
2179 S Tamiami Trl
Osprey, FL 34229
2179 S Tamiami Trl
Ste 101
Osprey, FL 34229
Phone (841) 966-0222
5600 Bee Ridge Rd
Ste C
Sarasota, FL 34233
Interoperability endpoints
- scaradonna@sara1896.srs-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME87302 | FL | Yes |
Addresses
Primary practice location
2179 S Tamiami TRL
Suite 101
Osprey, FL 34229-9239
Mailing address
628 Crane Prairie Way
Osprey, FL 34229-7812
Phone (941) 966-2310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7219515 | Other | FL | AETNA |
| 11076163 | Other | FL | CIGNA |
| 79325 | Other | FL | BCBSFL |
| DA7568 | Other | FL | RAILROAD MEDICARE |
Other providers in Osprey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.