Individual provider Active NPI

David John Catalano, M.D.

  • Radiation Oncology Physician
  • Lady Lake, FL
National Provider Identifier
1871614909
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME101677 Issued in FL
Practice address
922 Rolling Acres Rd
Suite 1
Lady Lake, FL 32159-5036
Phone
(352) 674-6300
Fax
(352) 753-6399
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME101677 FL Primary

Addresses

Primary practice location

922 Rolling Acres Rd
Suite 1
Lady Lake, FL 32159-5036

Mailing address

922 Rolling Acres Rd
Suite 1
Lady Lake, FL 32159-5036
Phone (352) 674-6300

Other identifiers 2

IdentifierTypeStateIssuer
000270100MedicaidFL
ME101677OtherFLMEDICAL LICENCE

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
I20080915000171 FL Practitioner - Radiation Oncology 4183790249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Loma Linda University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Accountable Care LLCGroup PAC ID 4789624826, 2 clinicians

Practice addresses (Care Compare)

922 Rolling Acres Rd
Lady Lake, FL 32159-5036
Phone (352) 326-2224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101677FLMDRadiation Oncology Physician
4531ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Accountable Care, LLC Radiation Oncology CurrentSince Aug 1, 2016 Accepting new patients
Arun K Singh M.D.,P.a. Past Accepting new patients
Intercommunity Cancer Center - Lady Lake Campus LLC Radiation Oncology Past Accepting new patients
Radiation Oncology Group Consultants, PC Radiation Oncology Past Accepting new patients

Locations

922 Rolling Acres Rd
Ste 1
Lady Lake, FL 32159
Phone (352) 674-6300

922 Rolling Acres Rd
Lady Lake, FL 32159
Phone (352) 326-2224

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1871614909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 ROLLING ACRES RD",
            "address_2": "SUITE 1",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321595036",
            "telephone_number": "352-674-6300",
            "fax_number": "352-753-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 ROLLING ACRES RD",
            "address_2": "SUITE 1",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321595036",
            "telephone_number": "352-674-6300",
            "fax_number": "352-753-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATALANO",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME101677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000270100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "ME101677",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.