DR. MARIO CUCCHIARELLA (M.D.) – Internal Medicine Physician, NPI 1790756765

DR. MARIO CUCCHIARELLA (M.D.) is a healthcare provider. based in Daytona beach, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME0047726 (FL). The NPI Number for DR. MARIO CUCCHIARELLA (M.D.) is 1790756765

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIO CUCCHIARELLA (M.D.)
NPI
1790756765
Phone
(386) 676-7130
Address
PO BOX 9671
Enumeration Date
30 January 2006
Last Update Date
11 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3867631000
Graduation Year
1982 (44 years ago)
PAC ID
6103970561
Group Practice PAC ID
9436201233
Professional Enrollment ID
I20090819000451
Address ID
FL321274240PO740XXAVEX301
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

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for DR. MARIO CUCCHIARELLA (M.D.)

  • Daytona Beach Post Office, North Atlantic Avenue, Daytona Beach, Volusia County, Florida, 32118, United States

    DAYTONA BEACH, FL 321209671

    Phone: (386) 676-7130

    Fax: (386) 676-7125

    Type: Mailing

  • 740, Dunlawton Avenue, Port Orange, Volusia County, Florida, 32127, United States

    STE. 200

    PORT ORANGE, FL 321274239

    Phone: (386) 763-1000

    Fax: (386) 763-0507

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $153.

Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Exact Sciences Corporation ($59).

Total Amount

$153

General + Research + Ownership

Payments

8

Total payment records

General Amount

$153

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-08-19

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
I20090819000451IInternal MedicineFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32120)

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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: 9436201233View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. MARIO CUCCHIARELLA (M.D.) across health systems?
The NPI 1790756765 uniquely identifies DR. MARIO CUCCHIARELLA (M.D.) in U.S. healthcare data.
Should I treat DR. MARIO CUCCHIARELLA (M.D.) as an active provider?
Patients and plans typically see DR. MARIO CUCCHIARELLA (M.D.) as active in the national extract.
What type of care does DR. MARIO CUCCHIARELLA (M.D.) provide?
DR. MARIO CUCCHIARELLA (M.D.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MARIO CUCCHIARELLA (M.D.)?
DR. MARIO CUCCHIARELLA (M.D.) shows a connection to Daytona Beach, Florida in registry-derived data.
Why is information missing for DR. MARIO CUCCHIARELLA (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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