NPIMap

Individual provider Active NPI

Maria C Pantaleon, MD

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1043208333
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0078640 Issued in FL
Practice address
1840 N Highland Ave
Clearwater, FL 33755-2138
Phone
(727) 442-3001
Fax
(727) 467-9106
NPI assigned
Oct 11, 2005
Last updated
Jun 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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 ME0078640 FL Primary

Addresses

Primary practice location

1840 N Highland Ave
Clearwater, FL 33755-2138

Mailing address

1840 N Highland Ave
Clearwater, FL 33755-2138
Phone (727) 442-3001

Other identifiers 3

IdentifierTypeStateIssuer
110223667OtherFLRAILROAD MEDICARE
257551500MedicaidFL
35306OtherFLBC FLORIDA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070803000198 FL Practitioner - Internal Medicine 7113018219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Med Center of Clearwater IncGroup PAC ID 2264413152, 6 clinicians

Practice addresses (Care Compare)

1840 N Highland Ave
Clearwater, FL 33755-2138
Phone (727) 442-3001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0078640FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Arts, PA Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Florida Med Center of Clearwater Inc Internal Medicine CurrentSince Mar 1, 2007 Accepting new patients
Florida Med Center Countryside Internal Medicine Past Accepting new patients

Locations

1840 N Highland Ave
Clearwater, FL 33755
Phone (727) 442-3001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDCACA/Endpoint/CDCACA
  • Direct secure messaging: maria.pantaleon@fmcoc.eclinicaldirectplus.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 5

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1043208333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 N HIGHLAND AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337552138",
            "telephone_number": "727-442-3001",
            "fax_number": "727-467-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N HIGHLAND AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337552138",
            "telephone_number": "727-442-3001",
            "fax_number": "727-467-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTALEON",
        "first_name": "MARIA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0078640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110223667",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257551500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FLORIDA",
            "identifier": "35306",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.