Individual provider Active NPI

Angel M Rosario, MD

  • Gastroenterology Physician
  • Tampa, FL
National Provider Identifier
1023127909
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME53996 Issued in FL
Practice address
6919 N Dale Mabry Hwy
Suite 320
Tampa, FL 33614-3972
Phone
(813) 930-8816
Fax
(813) 932-1856
NPI assigned
Aug 30, 2006
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME53996 FL
Gastroenterology Physician 207RG0100X ME53996 FL Primary

Addresses

Primary practice location

6919 N Dale Mabry Hwy
Suite 320
Tampa, FL 33614-3972

Mailing address

6919 N Dale Mabry Hwy Ste 250
Tampa, FL 33614-3860
Phone (813) 930-8816

Other identifiers 1

IdentifierTypeStateIssuer
058398700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090921000709 FL Practitioner - Gastroenterology 9638126899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6919 N Dale Mabry Hwy
Suite 250
Tampa, FL 33614-3860
Phone (813) 930-8816

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy485
Upper gastrointestinal (GI) endoscopy for acid reflux426

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME53996FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Angel M. Rosario M.D., P.a. CurrentSince Jul 28, 2009 Accepting new patients
Luis J Lopez MD PA Gastroenterology Past Accepting new patients
Gastroenterology Specialists of Tampa Bay Past Accepting new patients

Locations

6919 N Dale Mabry Hwy
Ste 250
Tampa, FL 33614
Phone (813) 930-8816

6919 N Dale Mabry Hwy
Ste 320
Tampa, FL 33614
Phone (813) 915-5555

3633 Little Rd
Ste 104
Trinity, FL 34655
Phone (727) 372-1130

Networks

  • FL PPO
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: clinical@gidocs.directbygreenway.com

Organizations & group practices 3

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1023127909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 N DALE MABRY HWY STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143860",
            "telephone_number": "813-930-8816",
            "fax_number": "813-932-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 N DALE MABRY HWY",
            "address_2": "SUITE 320",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143972",
            "telephone_number": "813-930-8816",
            "fax_number": "813-932-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "ANGEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME53996",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME53996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058398700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.