JOHN FULGINITI III MD
NPI 1235216888
Family Medicine in New Smyrna Beach, FL
About John Fulginiti Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN FULGINITI III MD (NPI 1235216888) is an individual family medicine provider in New Smyrna Beach, Florida, licensed in Florida (ME95369) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miramar, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2023).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Fulginiti Iii Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show John Fulginiti reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Smyrna Beach, FL 32169
- Reassigned Medicare billing, Florida enrollment
- 5 clinicians in this Medicare group
Miramar, FL 33027
- Reassigned Medicare billing, Florida enrollment
- 88 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Fulginiti's NPI number?
The NPI number for John Fulginiti is 1235216888. It was assigned to this individual provider in the NPPES registry on November 1, 2006.
Where is John Fulginiti located?
John Fulginiti practices at 807 E 7th Ave, New Smyrna Beach, FL 32169. The listed phone number is (386) 259-8803.
What is John Fulginiti's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Fulginiti enrolled in Medicare?
Yes. John Fulginiti is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for John Fulginiti's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Fulginiti reassigns Medicare benefits to 2 organizations: Whatever It Takes Medical, LLC (New Smyrna Beach, FL) and Florida Post Acute Care Clinicians, LLC (Miramar, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Fulginiti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Fulginiti was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John Fulginiti III, MD · NPI 1235216888
Family Medicine physician in New Smyrna Beach, Florida. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1235216888 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** ME95369 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 807 E 7TH AVE, New Smyrna Beach, FL 32169-3109
- **Phone:** (386) 259-8803 · **Fax:** (386) 281-9981
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Whatever It Takes Medical, LLC (NPI 1477232171, New Smyrna Beach, FL); Florida Post Acute Care Clinicians, LLC (NPI 1043760473, Miramar, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jefferson Medical College Of Thomas Jefferson University, class of 2023
## Record status
- **NPPES last updated:** December 18, 2024
- **Other identifiers:** Medicaid 102853300 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1235216888) · Data from the CMS NPPES public registry.