NPIMap

Individual provider Active NPI

Maria Teresa David, D.O.

  • Internal Medicine Physician
  • St Augustine, FL
National Provider Identifier
1013914787
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DOS 679 Issued in HI
Practice address
100 Whetstone PL Ste 105
St Augustine, FL 32086-5775
Phone
(904) 824-3777
NPI assigned
Jul 7, 2005
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DOS 679 HI Primary

Addresses

Primary practice location

100 Whetstone PL Ste 105
St Augustine, FL 32086-5775

Mailing address

7 Waterfront PL
500 Ala Moana Blvd., Suite 300
Honolulu, HI 96813-4920
Phone (808) 521-1317

Other practice location 1

3860 Wailea Alanui Drive,
Suite 102
Kihei, HI 96753
Phone (808) 875-1270

Other identifiers 1

IdentifierTypeStateIssuer
00258402MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051129000539 HI Practitioner - Internal Medicine 2961422431 Reassigns benefits to 2 organizations
I20250430000660 FL Practitioner - Internal Medicine 2961422431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians
Wailea Medical Group LLCGroup PAC ID 7618071101, 2 clinicians

Practice addresses (Care Compare)

100 Whetstone PL
Suite 105
Saint Augustine, FL 32086-5775
Phone (904) 824-3777

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

161 Wailea Ike PL
Suite B102
Wailea, HI 96753-6502
Phone (808) 875-9095

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DOS 679HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flagler Professional Health Care Services, Inc. Internal Medicine CurrentSince May 27, 2025 Accepting new patients
Wailea Medical Group LLC Internal Medicine CurrentSince Jun 1, 2006 Accepting new patients
Flagler Professional Health Care Services, Inc. CurrentSince May 27, 2025 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince Apr 1, 2025 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Jul 4, 2012 Accepting new patients
Flagler Professional Health Care Services, Inc. CurrentSince May 27, 2025 Accepting new patients

Locations

145 City Pl
Ste 201
Palm Coast, FL 32164
Phone (386) 627-7318

351 Town Plaza Ave
Ste 201
Ponte Vedra, FL 32081
Phone (888) 481-2135

120 Palencia Village Dr
Saint Augustine, FL 32095
Phone (904) 819-3200

100 Whetstone Pl
Ste 105
St Augustine, FL 32086
Phone (904) 824-3777

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

161 Wailea Ike Pl
Ste B102
Wailea, HI 96753
Phone (808) 521-2712

3860 Wailea Alanui Dr
Ste 102
Wailea, HI 96753
Phone (808) 875-1270

94-1480 Moaniani St
Waipahu, HI 96797
Phone (808) 432-2000

Networks

  • FL HMO
  • HI PPO
  • FL PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

  • Direct secure messaging: mdavid789766@direct.shands.ufl.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1013914787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WATERFRONT PL",
            "address_2": "500 ALA MOANA BLVD., SUITE 300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134920",
            "telephone_number": "808-521-1317",
            "fax_number": "808-533-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHETSTONE PL STE 105",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865775",
            "telephone_number": "904-824-3777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3860 Wailea Alanui Drive,",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Kihei",
            "state": "HI",
            "postal_code": "96753",
            "country_code": "US",
            "telephone_number": "808-875-1270",
            "fax_number": "808-875-1281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "MARIA TERESA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "DOS 679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00258402",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.