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DINO MADONNA M.D NPI 1780684399


NPI Information

NPI: 1780684399
Provider Name: DINO MADONNA, M.D
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

Organization: LAKE ENT AND FPS, PA

PECOS Registration: Yes

Address:
601 E DIXIE AVE
MEDICAL PLAZA 901
LEESBURG, FL
ZIP 34748
Phone: (352) 728-2404
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Dino Madonna, M.D is a facial plastic surgery otolaryngology in Leesburg, FL with 31 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. Dino Madonna, M.D NPI is 1780684399. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 E DIXIE AVE
MEDICAL PLAZA 901
LEESBURG, FL
ZIP 34748-953
Phone: (352) 728-2404
Fax: (352) 787-7401

The NPI 1780684399 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.

  • Preparation and provision of single or multiple antigens for allergen immunotherapy (HCPCS:95165)
  • Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)
  • Injection of allergenic extracts into skin for immediate reaction analysis (HCPCS:95024)
  • Injection of incremental dosages of allergen, 2 or more injections (HCPCS:95117)
  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)
  • Destruction of skin growth (HCPCS:17000)
  • Assessment and recording of balance system during irrigation of both ears (HCPCS:92543)
  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
  • Eardrum testing using ear probe (HCPCS:92567)
  • Observation, testing, and recording of abnormal eye movement (HCPCS:92540)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Physical therapy evaluation (HCPCS:97001)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)

The enumeration date for this NPI number is 7/26/2005 and was last updated on 7/16/2019.


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
1207Y00000XOtolaryngologyME78248FLORIDANo
2207YS0123XOtolaryngologyFacial Plastic SurgeryME78248FLORIDAYes

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
1256975200MEDICAIDFLORIDA

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

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