Dominick M Caracciolo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102467 Issued in FL

Practice address

2055 Military TRL
Suite 303
Jupiter, FL 33458-7801

Phone

(561) 427-0860

Fax

(561) 427-0870

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Orthopedics and Pain Management, P.L.Group PAC ID 6002985207, 6 clinicians

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: dominick.caracciolo.1@15885.direct.athenahealth.com
• Direct secure messaging: dominick.caracciolo.1@31266.direct.athenahealth.com

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.

• Advanced Orthopedics and Pain Management, P.L.

  • Orthopaedic Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1285810838
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942275870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 MILITARY TRL",
            "address_2": "SUITE 303",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587801",
            "telephone_number": "561-427-0860",
            "fax_number": "561-427-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 MILITARY TRL",
            "address_2": "SUITE 303",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587801",
            "telephone_number": "561-427-0860",
            "fax_number": "561-427-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARACCIOLO",
        "first_name": "DOMINICK",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Francis Capaldi, M.D., MBA
• Capmed Corp
• Kittann Cappella, RPH
• Brittany Capriotti
• Cynthia Caputo, LIC.AC.
• Debra Lee Caramagno, A.P. , L.N.
• Denise Vilchez Cardenal, MD
• Cardiocare Heart and Vascular Center PLLC
• Cardiovascular Medical Specialists of the Palm Beaches PA
• Cardona Pain & Anesthesia

• Physician Assistant in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.