ANTHONY A. AZZARELLO (PA) – Physician Assistant, NPI 1073568747

ANTHONY A. AZZARELLO (PA) is a healthcare provider. based in Daytona beach, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9103151 (FL). The NPI Number for ANTHONY A. AZZARELLO (PA) is 1073568747

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY A. AZZARELLO (PA)
NPI
1073568747
Phone
(386) 425-1800
Address
303 NO. CLYDE MORRIS BLVD.
Enumeration Date
23 May 2006
Last Update Date
26 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
5799718359
Group Practice PAC ID
1254238090
Professional Enrollment ID
I20050914000500
Address ID
FL321142709DA303XXBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ANTHONY A. AZZARELLO (PA)

  • 303 NO. CLYDE MORRIS BLVD.

    HALIFAX MEDICAL CENTER - CHEST PAIN CENTER

    DAYTONA BEACH, FL 321142709

    Phone: (386) 425-1800

    Fax: (386) 425-1804

    Type: Location

  • PO BOX BOX 864074

    HALIFAX HEALTHCARE SYSTEMS, INC.

    ORLANDO, FL 328864074

    Phone: (386) 226-4590

    Fax: (386) 226-3371

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050914000500IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5756$0
99238Hospital discharge day management, 30 minutes or less4039$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 32114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254238090View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YFL
Nurse PractitionerFL
Physician AssistantFL
U R O L O G YFL
Internal Medicine, Hematology/OncologyFL
Family PracticeFL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
--
Emergency MedicineFL
Nurse PractitionerTN

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Frequently asked questions

What is the registry number for ANTHONY A. AZZARELLO (PA)?
The registry entry for ANTHONY A. AZZARELLO (PA) shows NPI 1073568747.
Is ANTHONY A. AZZARELLO (PA)'s NPI status active today?
Active status means ANTHONY A. AZZARELLO (PA)'s NPI record is not deactivated in the public file.
What type of care does ANTHONY A. AZZARELLO (PA) provide?
ANTHONY A. AZZARELLO (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Is ANTHONY A. AZZARELLO (PA) tied to Daytona Beach, Florida?
If you are local to Daytona Beach, Florida, ANTHONY A. AZZARELLO (PA) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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