Individual provider Active NPI

Richard Degregorio, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Pinellas Park, FL
National Provider Identifier
1871565051
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME56017 Issued in FL
Practice address
8455 66TH St N
Pinellas Park, FL 33781-1206
Phone
(727) 545-2339
Fax
(727) 545-0289
NPI assigned
Feb 2, 2006
Last updated
Jun 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME56017 FL Primary

Addresses

Primary practice location

8455 66TH St N
Pinellas Park, FL 33781-1206

Mailing address

8455 66TH St N
Pinellas Park, FL 33781-1206
Phone (727) 545-2339

Other identifiers 1

IdentifierTypeStateIssuer
031394700MedicaidFL

Other names 1

  • Richard Degregorio Professional name

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
I20090423000688 FL Practitioner - Pathology 1254489636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of South Florida College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Pathology Laboratories PAGroup PAC ID 4385785880, 9 clinicians

Practice addresses (Care Compare)

8455 66TH N St
Pinellas Park, FL 33781-1206

8455 66TH St N
Pinellas Park, FL 33781-1206
Phone (727) 545-2339

8455 66TH St No
Pinellas PK, FL 33781-1206

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as individual
Quality
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Pathology Laboratories PA CurrentSince Mar 15, 2016 Accepting new patients
Richard Degregorio MD P a CurrentSince Feb 19, 2009 Accepting new patients

Locations

8455 66th St N
Pinellas Park, FL 33781
Phone (727) 545-0109

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1871565051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337811206",
            "telephone_number": "727-545-2339",
            "fax_number": "727-545-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337811206",
            "telephone_number": "727-545-2339",
            "fax_number": "727-545-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGREGORIO",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME56017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031394700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "DEGREGORIO",
            "credential": "M.D., P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.