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DR. DOUGLAS D. DEDO M.D. NPI 1164473096


NPI Information

NPI: 1164473096
Provider Name: DR. DOUGLAS D. DEDO, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Organization: ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC

PECOS Registration: Yes

Address:
4060 PGA BLVD
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 776-7112
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DR. Douglas D. Dedo, M.D. is a specialist in Palm Beach Gardens, FL with 55 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Douglas D. Dedo, M.D. NPI is 1164473096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:1969

The provider's business location address is:

4060 PGA BLVD
PALM BEACH GARDENS, FL
ZIP 33410-574
Phone: (561) 776-7112
Fax: (561) 776-7113

The NPI 1164473096 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)

The enumeration date for this NPI number is 5/15/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME30575FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D55843MEDICARE UPINFLORIDA
250803MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.