Individual provider Active NPI

Justin R. Nudell, D.O.

  • Gastroenterology Physician
  • Largo, FL
National Provider Identifier
1922210582
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS9289 Issued in FL
Practice address
13777 Belcher Rd S
Largo, FL 33771-4003
Phone
(727) 544-1600
Fax
(727) 546-9071
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X OS9289 FL Primary

Addresses

Primary practice location

13777 Belcher Rd S
Largo, FL 33771-4003

Mailing address

13777 Belcher Rd S
Largo, FL 33771-4003
Phone (727) 544-1600

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
I20100911000087 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 6204981509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Digestive Health Specialists, LLPGroup PAC ID 6507054582, 86 clinicians

Practice addresses (Care Compare)

13777 Belcher Rd S
100 Florida Center for Gastroenterology LLC
Largo, FL 33771-4096
Phone (727) 544-1600

1886 59TH St W
Bradenton, FL 34209-4630
Phone (941) 794-1980

Hospital & facility affiliations

  • HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy170
Upper gastrointestinal (GI) endoscopy for acid reflux239

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Digestive Health Specialists, LLP Gastroenterology CurrentSince Jun 1, 2012 Accepting new patients
Lourdes Medical Associates PA Gastroenterology PastSince Jul 9, 2007 Accepting new patients
Lourdes Medical Associates, PA Past Accepting new patients

Locations

1886 59th St W
Bradenton, FL 34209
Phone (941) 361-1100

10920 Technology Ter
Lakewood Ranch, FL 34211
Phone (941) 216-4835

13777 Belcher Rd S
Ste 100
Largo, FL 33771
Phone (727) 544-1600

8250 Bryan Dairy Rd
Ste 200
Seminole, FL 33777
Phone (727) 544-1600

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: justin.nudell@fdhs.eclinicaldirectplus.com

Organizations & group practices 3

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 5

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1922210582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13777 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714003",
            "telephone_number": "727-544-1600",
            "fax_number": "727-546-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13777 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714003",
            "telephone_number": "727-544-1600",
            "fax_number": "727-546-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUDELL",
        "first_name": "JUSTIN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "OS9289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.