DR. ANGELIQUE RENAE POLIDORO D.O. NPI 1396945317

NPI Information

  • NPI: 1396945317
  • Provider Name: DR. ANGELIQUE RENAE POLIDORO, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19531 COCHRAN BLVD
    PORT CHARLOTTE, FL
    ZIP 33948
  • Phone: (941) 255-3535

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NPI Details

DR. Angelique Renae Polidoro, D.O. is a family medicine in Port Charlotte, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Angelique Renae Polidoro, D.O. NPI is 1396945317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19531 COCHRAN BLVD
PORT CHARLOTTE, FL
ZIP 33948-081
Phone: (941) 255-3535

The NPI 1396945317 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Hemoglobin a1c level (HCPCS:83036)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Folic acid level, serum (HCPCS:82746)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Iron level (HCPCS:83540)
  • Iron binding capacity (HCPCS:83550)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Ferritin (blood protein) level (HCPCS:82728)
  • Vitamin d-3 level (HCPCS:82306)
  • Automated urinalysis test (HCPCS:81003)
  • Bacterial colony count, urine (HCPCS:87086)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Uric acid level, blood (HCPCS:84550)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Measurement c-reactive protein for detection of infection or inflammation (HCPCS:86140)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)

The enumeration date for this NPI number is 7/18/2007 and was last updated on 3/7/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine2010-01605NORTH CAROLINANo
2208D00000XGeneral Practice2010-01605NORTH CAROLINANo
3207Q00000XFamily MedicineOS17556FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12010-01605OTHERNORTH CAROLINAMEDICAL LICENSE
25916841MEDICAIDNORTH CAROLINA
3D09076700OTHERNEW JERSEYCDS

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: 3/30/2025

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