Individual provider Active NPI

Antonio Sergio Cassanego, M.D.

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1942275979
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9700890 Issued in NC
Practice address
5849 Okeechobee Blvd
Suite 301
West Palm Beach, FL 33417-4352
Phone
(561) 683-4008
Fax
(561) 683-0532
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9700890 NC
Internal Medicine Physician 207R00000X 9700890 NC Primary

Addresses

Primary practice location

5849 Okeechobee Blvd
Suite 301
West Palm Beach, FL 33417-4352

Mailing address

5849 Okeechobee Blvd
Suite 301
West Palm Beach, FL 33417-4352
Phone (561) 683-4008

Other identifiers 3

IdentifierTypeStateIssuer
P00403690OtherRAILROAD MEDICARE INDIVID
1126MOtherNCBCBS NC
891126MMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address antoniosergio.cassanego.1@29601.direct.athenahealth.com

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
I20150925000976 FL Practitioner - Internal Medicine 0042315202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

5849 Okeechobee Blvd
Suite 301
West Palm Beach, FL 33417-4352
Phone (561) 683-4008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9700890NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Aug 3, 2015 Accepting new patients
Yancey Community Medical Services, Inc. Past Accepting new patients

Locations

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

5849 Okeechobee Blvd
Ste 301
West Palm Beach, FL 33417
Phone (561) 683-4008

Interoperability endpoints

  • Direct secure messaging: antoniosergio.cassanego.1@29601.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773446400000",
    "number": "1942275979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5849 OKEECHOBEE BLVD",
            "address_2": "SUITE 301",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174352",
            "telephone_number": "561-683-4008",
            "fax_number": "561-683-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5849 OKEECHOBEE BLVD",
            "address_2": "SUITE 301",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174352",
            "telephone_number": "561-683-4008",
            "fax_number": "561-683-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSANEGO",
        "first_name": "ANTONIO",
        "middle_name": "SERGIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "9700890",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9700890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE INDIVID",
            "identifier": "P00403690",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "1126M",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891126M",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "antoniosergio.cassanego.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "5849 Okeechobee Blvd",
            "address_2": "Suite 301",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334174352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.