Active NPI
Thomas O'Toole, MD
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1871648774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 149434
- Practice address
- 5900 S John Young Pkwy
Orlando, FL 32839-3716 - Phone
- (407) 434-8171
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D56251 | MD | |
| Pediatrics Physician | 208000000X | D56251 | MD | |
| Pediatrics Physician | 208000000X | 149434 | FL | Primary |
Addresses
Primary practice location
5900 S John Young Pkwy
Orlando, FL 32839-3716
Mailing address
1901 Neptune Dr
Melbourne Beach, FL 32951-2705
Phone (410) 935-9946
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12804 Spruce Run Rd
Myersville, MD 21773-9704
4535 Dressier Rd NW
Canton, OH 44718-2545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149434 | FL | MD | Pediatrics Physician |
| D56251 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Emergency Physicians-Heartland LLC | Emergency Medicine | Current | Accepting new patients |
| Randall Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Yardmore Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Union Memorial Hospital | Past | Accepting new patients | |
| Night Lite Pediatric Center, LLC | Pediatrics | Past | Accepting new patients |
| Contee Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1043661408
-
- Pediatrics Physician
- Apopka, FL
- NPI 1407974579
-
- Emergency Medicine Physician
- Laurel, MD
- NPI 1710936398
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Emergency Medicine Physician
- Randallstown, MD
- NPI 1679526347
-
- Multi-Specialty Clinic/Center
- Baltimore, MD
- NPI 1336163781
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1730131657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1871648774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 NEPTUNE DR",
"city": "MELBOURNE BEACH",
"state": "FL",
"postal_code": "329512705",
"telephone_number": "410-935-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 S JOHN YOUNG PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328393716",
"telephone_number": "407-434-8171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'TOOLE",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D56251",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D56251",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "149434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.