DR. ANGELIQUE RENAE POLIDORO D.O.
NPI 1396945317
Family Medicine in Port Charlotte, FL

Q: What is Angelique Polidoro's NPI number?

The NPI number for Angelique Polidoro is 1396945317. It was assigned to this individual provider in the NPPES registry on July 18, 2007. The provider is also known as Dr. Angelique Renae Denaxas D.O..

Q: What is Angelique Polidoro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 18, 2007PECOS Enrolled

19531 COCHRAN BLVD, PORT CHARLOTTE, FL 33948(941) 255-3535 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Dec 6, 2022 (2 updates tracked since 2022).

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About Dr. Angelique Renae Polidoro D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANGELIQUE RENAE POLIDORO D.O. (NPI 1396945317) is an individual family medicine provider in Port Charlotte, Florida, licensed in Florida (OS17556) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396945317

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ANGELIQUE RENAE POLIDOROCredential: D.O.

Location Address19531 COCHRAN BLVDPort Charlotte, FL 33948-2081

Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774

Phone(941) 255-3535

Sole ProprietorNo

Enumeration DateJuly 18, 2007

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedDecember 6, 2022

✔ NPI 1396945317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · OS17556✔ Licensed in NC · 2010-01605

Definition

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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 2010-01605 (NC)

19531 COCHRAN BLVD, Port Charlotte, FL 33948

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Other Names 1

Former Name (1)Dr. Angelique Renae Denaxas D.o.

Other Identifiers 3

Other2010-01605NC · Medical License

Medicaid5916841NC

OtherD09076700NJ · Cds

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Angelique Renae Polidoro D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33948 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers14 claims14 services$34.61 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers12 claims12 services$89.49 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers12 claims36 services$34.06 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers13 claims78 services$2.24 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers15 claims15 services$96.85 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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