Individual provider Active NPI

Michael Delzoppo, DO

  • Internal Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1831725787
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS19343 Issued in FL
Practice address
720 W Oak St
Kissimmee, FL 34741-4989
Phone
(321) 697-1730
NPI assigned
Mar 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS19343 FL Primary

Addresses

Primary practice location

720 W Oak St
Kissimmee, FL 34741-4989

Mailing address

700 W Oak St
Kissimmee, FL 34741-4924
Phone (407) 266-1106

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424003327 FL Practitioner - Internal Medicine 3971943911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Alabama College of Osteopathic Medicine, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians
Premier Med PAGroup PAC ID 1557603370, 14 clinicians

Practice addresses (Care Compare)

700 W Oak St
Osceola Regional Medical Center
Kissimmee, FL 34741-4996
Phone (407) 846-2266

7512 Dr Phillips Blvd
Orlando, FL 32819-5131
Phone (407) 543-6306

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Solaris Healthcare Celebration Nursing home, Kissimmee, FL, CCN 106127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS19343FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of FL, LLC CurrentSince Mar 25, 2024 Accepting new patients
Premier Med PA CurrentSince Nov 1, 2024 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

2511 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 405-4985

221 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 900-4885

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

320 Mitchell St
Kissimmee, FL 34741
Phone (407) 847-7200

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

7512 Dr Phillips Blvd
Ste 50-344
Orlando, FL 32819
Phone (407) 543-6306

14155 Town Loop Blvd
Orlando, FL 32837
Phone (407) 234-0670

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 2

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 8

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": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1831725787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414924",
            "telephone_number": "407-266-1106",
            "fax_number": "407-518-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414989",
            "telephone_number": "321-697-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELZOPPO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-22",
        "last_updated": "2024-02-23",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS19343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.