Active NPI
Christina Ruth Covelli, M.D.
- Gastroenterology Physician
- Tavares, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME109150
- Practice address
- 3345 Waterman Way
Tavares, FL 32778-5220 - Phone
- (352) 742-2192
- Fax
- (352) 742-2689
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME109150 | FL | Primary |
Addresses
Primary practice location
3345 Waterman Way
Tavares, FL 32778-5220
Mailing address
3345 Waterman Way
Tavares, FL 32778-5220
Phone (352) 742-2192
Other practice location 1
2728 Enterprise Rd
#100
Orange City, FL 32763-8276
Phone (386) 668-2221
Other practice location 2
3345 Waterman Way
Tavares, FL 32778-5220
Phone (352) 742-2050
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003843600 | Medicaid | FL | |
| DF6813 | Other | AL | RAIL ROAD MEDICARE GROUP # |
| 1922129618 | Other | AL | ALABAMA LIVER & DIGESTIVE SPECIALISTS ORGANIZATIONAL GROUP NPI |
| 203204949 | Other | AL | TAX EID # |
| 25647 | Other | AL | ALABAMA MEDICAL LISCENSE |
| 529932823 | Medicaid | AL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Florida College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111
Hospital & facility affiliations
- Orlando Health
- Adventhealth Waterman
- Orlando Health South Lake Hospital
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 83 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 106 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME109150 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients |
Locations
917 Rinehart Rd
Ste 2051
Lake Mary, FL 32746
Phone (407) 936-2442
515 W State Road 434
Ste 105
Longwood, FL 32750
Phone (407) 260-6000
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1717 S Orange Ave
Ste 103
Orlando, FL 32806
Phone (407) 236-0404
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179
52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581
1000 W Broadway St
Ste 246
Oviedo, FL 32765
Phone (407) 260-6000
3345 Waterman Way
Tavares, FL 32778
Phone (352) 742-2050
1749 David Walker Dr
Tavares, FL 32778
Phone (352) 742-1760
3350 Waterman Way
Tavares, FL 32778
Phone (352) 343-1938
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- ccovelli282807@orlandohealth.medalliesdirect.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1972680106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3345 WATERMAN WAY",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785220",
"telephone_number": "352-742-2192",
"fax_number": "352-742-2689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 WATERMAN WAY",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785220",
"telephone_number": "352-742-2192",
"fax_number": "352-742-2689"
}
],
"practiceLocations": [
{
"address_1": "2728 Enterprise Rd",
"address_2": "#100",
"address_purpose": "LOCATION",
"city": "Orange City",
"state": "FL",
"postal_code": "327638276",
"country_code": "US",
"telephone_number": "386-668-2221",
"fax_number": "386-668-2228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3345 Waterman Way",
"address_purpose": "LOCATION",
"city": "Tavares",
"state": "FL",
"postal_code": "327785220",
"country_code": "US",
"telephone_number": "352-742-2050",
"fax_number": "352-343-0154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COVELLI",
"first_name": "CHRISTINA",
"middle_name": "RUTH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME109150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003843600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE GROUP #",
"identifier": "DF6813",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA LIVER & DIGESTIVE SPECIALISTS ORGANIZATIONAL GROUP NPI",
"identifier": "1922129618",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX EID #",
"identifier": "203204949",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA MEDICAL LISCENSE",
"identifier": "25647",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529932823",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
- Cornerstone Primary Care, LLC
- Janice Lynette Cornett, LPN
- Counseling & Development Center Inc
- County of Lake Office Clerk Board County Commissioners
- Court Educational Programs
- Lisa Dawn Crawford, LPTA
- Matthew B Crawford, CRNA
- Creative Milestones Support Services Inc
- Creative Milestones Support Services Inc
- Deborah Crumpton, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.