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Deactivated NPI 1528116787 Deactivated / Inactive NPI Male Practitioner

Dr. Mario Peter Cometti , MD

Pediatrics - Adolescent Medicine • St Augustine, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mario Cometti has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 06, 2007
NPI Deactivation Date January 28, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Mario Cometti, MD was a registered Pediatrics - Adolescent Medicine practicing in St Augustine, FL. Throughout an active medical career spanning 15 years, Dr. Cometti provided care at the practice location at 2 AMBERJACK LN until profile deactivation on 2022-01-28.

Practice Location & Contact Primary Location

Practice Address

2 Amberjack Ln

St Augustine, FL 320806903

Telephone 9044618648

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics - Adolescent Medicine in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 32.5 Yrs
Regional Practice Density
2 Specialists

Practicing in St Augustine, FL (126 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics - Adolescent Medicine Primary Specialty

NUCC Taxonomy Code: 2080A0000X

State License KY 35979

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 2 AMBERJACK LN, ST AUGUSTINE, FL 320806903 (Tel: 9044618648)

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Updated Business Mailing Address July 09, 2007

Registered at 2 AMBERJACK LN, ST AUGUSTINE, FL 320806903 (Tel: 9044618648)

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Provider Name / Credentials Updated July 09, 2007

Recorded as MARIO COMETTI, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pediatrics (License #35979 in KY)

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Initial NPI Registration & Enumeration January 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528116787
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2007
Last Update: July 09, 2007
Deactivation Date: January 28, 2022

Mailing Address

2 Amberjack Ln

St Augustine, FL 320806903

Phone: 9044618648

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.