Individual provider Active NPI

Christina Ruth Covelli, M.D.

  • Gastroenterology Physician
  • Tavares, FL
National Provider Identifier
1972680106
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME109150 Issued in FL
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

Updated by the provider on Oct 5, 2020

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 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

IdentifierTypeStateIssuer
003843600MedicaidFL
DF6813OtherALRAIL ROAD MEDICARE GROUP #
1922129618OtherALALABAMA LIVER & DIGESTIVE SPECIALISTS ORGANIZATIONAL GROUP NPI
203204949OtherALTAX EID #
25647OtherALALABAMA MEDICAL LISCENSE
529932823MedicaidAL

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
I20110719000703 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 7214074772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
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
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy83
Upper gastrointestinal (GI) endoscopy for acid reflux106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME109150FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Sep 15, 2021 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 30, 2017 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 30, 2017 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 15, 2021 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

  • Direct secure messaging: 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.

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": "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

Sources for this page

Verify at the official NPI Registry.