Michael George Caruso, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME36579 Issued in FL

Practice address

4002 Sun City Center Blvd
Unit102
Sun City Center, FL 33573

Phone

(813) 634-1455

Fax

(813) 642-8355

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Aqua Dermatology of Florida, PA

  • Dermatology Physician
  • Palm Beach Gardens, FL
  • NPI 1538270335
  Medicare reassignment NPD
• Naples Center for Dermatology & Riverchase Dermatology

  • Durable Medical Equipment & Medical Supplies
  • Cape Coral, FL
  • NPI 1538645775
  NPD

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1922094317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 SUN CITY CENTER BLVD",
            "address_2": "UNIT 102",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735208",
            "telephone_number": "813-634-1455",
            "fax_number": "813-642-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 SUN CITY CENTER BLVD",
            "address_2": "UNIT102",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "33573",
            "telephone_number": "813-634-1455",
            "fax_number": "813-642-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "MICHAEL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME36579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardiometabolic Primary Care, LLC
• Care Agency LLC
• Nicole Nance Carmen, PTA
• Christine M Carpenter, DPT
• Kaci Carroll
• Hector J Cases
• CCRC Opco - Sun City Center, LLC
• CCRC Opco - Sun City Center, LLC
• Cedar Mountain Chartered
• Center for Radiation Oncology of Tampa Bay in

• Dermatology Physician in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.