Individual provider Active NPI

Carlos Cartaya, M.D.

  • Pediatrics Physician
  • Tampa, FL
National Provider Identifier
1043238504
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME84690 Issued in FL
Practice address
9420 Lazy LN
Suite E-3
Tampa, FL 33614-1593
Phone
(813) 743-7879
Fax
(813) 926-5358
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME84690 FL Primary

Addresses

Primary practice location

9420 Lazy LN
Suite E-3
Tampa, FL 33614-1593

Mailing address

9420 Lazy LN Ste E3
Tampa, FL 33614-1587
Phone (813) 743-7879

Other identifiers 1

IdentifierTypeStateIssuer
264415100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME84690FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Pediatrics LLC Pediatrics Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1043238504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 LAZY LN STE E3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141587",
            "telephone_number": "813-743-7879",
            "fax_number": "813-926-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 LAZY LN",
            "address_2": "SUITE E-3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141593",
            "telephone_number": "813-743-7879",
            "fax_number": "813-926-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTAYA",
        "first_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME84690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264415100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.