Organization Active NPI

Medical Management of Ocala Inc

  • Otolaryngology Physician
  • Ocala, FL
National Provider Identifier
1861651259
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MEDICAL MANAGEMENT OF OCALA INC
Practice address
2120 SW 22ND PL
Ocala, FL 34471-7765
Phone
(352) 732-5042
Fax
(352) 732-6031
NPI assigned
Jun 2, 2008
Last updated
Jan 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Kevin Pizzuti
Title
Administrator
Phone
(352) 732-5042

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Primary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X

Addresses

Primary practice location

2120 SW 22ND PL
Ocala, FL 34471-7765

Mailing address

2120 SW 22ND PL
Ocala, FL 34471-7765
Phone (352) 732-5042

Other practice location 1

2102 SW 20th Pl Ste 602
Ocala, FL 34471-6352
Phone (352) 732-5042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080627000296 FL Part B Supplier - Clinic/Group Practice 4587619036 Receives reassigned benefits from 10 practitioners
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Locations

2102 SW 20th Pl
Ste 602
Ocala, FL 34471
Phone (352) 732-5042

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1861651259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 SW 22ND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717765",
            "telephone_number": "352-732-5042",
            "fax_number": "352-732-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 SW 22ND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717765",
            "telephone_number": "352-732-5042",
            "fax_number": "352-732-6031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2102 SW 20th Pl Ste 602",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344716352",
            "country_code": "US",
            "telephone_number": "352-732-5042",
            "fax_number": "352-732-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL MANAGEMENT OF OCALA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "PIZZUTI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-732-5042"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.