Individual provider Active NPI

Casey Shea McGillicuddy, MD

  • Emergency Medicine Physician
  • Orlando, FL
National Provider Identifier
1841819836
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME153673 Issued in FL
Practice address
601 E Rollins St
Orlando, FL 32803
Phone
(561) 252-3654
NPI assigned
Apr 10, 2020
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X FL
Emergency Medicine Physician 207P00000X ME153673 FL Primary

Addresses

Primary practice location

601 E Rollins St
Orlando, FL 32803

Mailing address

825 McCullough Ave
Orlando, FL 32803-7202
Phone (561) 252-3654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC, VA, MD, TX5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20221115001867 FL Practitioner - Emergency Medicine 9537599337 Reassigns benefits to 3 organizations
I20230622000276 DC Practitioner - Emergency Medicine 9537599337 Reassigns benefits to 3 organizations
I20230622002175 VA Practitioner - Emergency Medicine 9537599337 Reassigns benefits to 2 organizations
I20240417000116 MD Practitioner - Emergency Medicine 9537599337 Reassigns benefits to 3 organizations
I20251028004471 TX Practitioner - Emergency Medicine 9537599337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Miami, LM Miller School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4535 Dressier Rd NW
Canton, OH 44718-2545

537 Mayfair Cir
Orlando, FL 32803-6624

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME153673FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chester River Hospital Center Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Emergency Medicine Associates, PA Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Chester River Health Center CurrentSince Jun 1, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jun 1, 2023 Accepting new patients
Chester River Hospital Center Current Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Dec 27, 2023 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Dec 27, 2023 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jun 1, 2023 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Aug 18, 2025 Accepting new patients

Locations

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 765-5000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Interoperability endpoints

  • Direct secure messaging: cmcgillicuddy1103167@direct.umm.edu
  • Direct secure messaging: cmcgillicuddy442550@direct.healthsystem.virginia.edu

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 5

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1841819836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 MCCULLOUGH AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328037202",
            "telephone_number": "561-252-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32803",
            "telephone_number": "561-252-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILLICUDDY",
        "first_name": "CASEY",
        "middle_name": "SHEA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME153673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.