Individual provider Active NPI

Dennis Paul Cirillo, M.D.

  • Plastic Surgery Physician
  • Arcadia, FL
National Provider Identifier
1962563528
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME140728 Issued in FL
Practice address
316 Nursing Home Dr
Arcadia, FL 34266-3870
Phone
(863) 993-7717
Fax
(863) 491-4215
NPI assigned
Dec 13, 2006
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 27280 CO
Plastic Surgery Physician 208200000X ME140728 FL Primary

Addresses

Primary practice location

316 Nursing Home Dr
Arcadia, FL 34266-3870

Mailing address

6919 N Dale Mabry Hwy Ste 250
Tampa, FL 33614-3860
Phone (813) 935-4210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050914000495 CO Practitioner - Plastic and Reconstructive Surgery 2163455726 Reassigns benefits to 1 organization
I20190726001466 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Undersea and Hyperbaric Medicine 2163455726 Reassigns benefits to 1 organization
I20251031001649 GA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Undersea and Hyperbaric Medicine 2163455726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Undersea and Hyperbaric Medicine
Education
State University of New York Downstate Medical Center, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hyperbaric and Woundcare IncGroup PAC ID 1052311560, shared by 2 NPIs, 26 clinicians

Practice addresses (Care Compare)

316 Nursing Home Dr
Arcadia, FL 34266-3870
Phone (863) 993-7717

492 Elma G Miles Pkwy
Hinesville, GA 31313-4000
Phone (912) 369-9513

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27280COMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Colorado-Professional, LLC CurrentSince Sep 2, 2015 Accepting new patients
Healogics Specialty Physicians of Colorado-Professional, LLC CurrentSince Sep 2, 2015 Accepting new patients
Hyperbaric & Woundcare Inc CurrentSince May 15, 2021 Accepting new patients
Hyperbaric & Woundcare Inc CurrentSince May 15, 2021 Accepting new patients

Locations

9399 Crown Crest Blvd
Ste 430
Parker, CO 80138
Phone (303) 269-2310

316 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-8426

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

6919 N Dale Mabry Hwy
Ste 250
Tampa, FL 33614
Phone (813) 930-8816

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1962563528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 N DALE MABRY HWY STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143860",
            "telephone_number": "813-935-4210",
            "fax_number": "813-932-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 NURSING HOME DR",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342663870",
            "telephone_number": "863-993-7717",
            "fax_number": "863-491-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRILLO",
        "first_name": "DENNIS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "27280",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME140728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, FL

Sources for this page

Verify at the official NPI Registry.