Individual provider Active NPI

Daniel Albert Nedresky, DO

  • Family Medicine Physician
  • Stuart, FL
National Provider Identifier
1902425119
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS18380 Issued in FL
Practice address
2150 SE Salerno Rd
Stuart, FL 34997
Phone
(772) 223-5757
NPI assigned
Apr 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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
Family Medicine Physician 207Q00000X OS18380 FL Primary

Addresses

Primary practice location

2150 SE Salerno Rd
Stuart, FL 34997

Mailing address

2150 SE Salerno Rd
Stuart, FL 34997

Other practice location 1

13670 Walsingham Rd
Largo, FL 33774-3532
Phone (727) 593-9848

Other practice location 2

700 6th St S
St Petersburg, FL 33701-4815
Phone (727) 893-6116

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Daniel.Nedresky@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

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
I20220504000206 FL Practitioner - Family Practice 8123442787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Martin Memorial Medical Center IncGroup PAC ID 2961300611, 514 clinicians

Practice addresses (Care Compare)

2150 SE Salerno Rd
Suite 200
Stuart, FL 34997-6572
Phone (772) 228-5862

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • Visiting Nurse Association of Florida Inc Home health agency, Stuart, FL, CCN 107177
  • Pinnacle Home Care Home health agency, Port Saint Lucie, FL, CCN 109610
  • Enhabit Home Health of Jupiter Medical Center Home health agency, Jupiter, FL, CCN 107544
  • Centerwell Home Health Home health agency, Port Saint Lucie, FL, CCN 107586
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS18380FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Family Medicine Current Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jan 1, 2025 Accepting new patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Apr 29, 2022 Accepting new patients
Baycare Medical Group, Inc Family Medicine CurrentSince Apr 29, 2022 Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

13670 Walsingham Rd
Largo, FL 33774
Phone (727) 593-9848

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

3801 S Kanner Hwy
Ste 100
Stuart, FL 34994
Phone (772) 419-3900

509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 221-2003

2150 SE Salerno Rd
Ste 200
Stuart, FL 34997
Phone (772) 223-5757

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: daniel.nedresky@direct.mybaycare.org

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.

Hospital & facility affiliations 6

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1902425119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 SE SALERNO RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 SE SALERNO RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34997",
            "telephone_number": "772-223-5757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13670 Walsingham Rd",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337743532",
            "country_code": "US",
            "telephone_number": "727-593-9848",
            "fax_number": "727-596-4532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 6th St S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014815",
            "country_code": "US",
            "telephone_number": "727-893-6116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEDRESKY",
        "first_name": "DANIEL",
        "middle_name": "ALBERT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS18380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Daniel.Nedresky@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.