NPIMap

Individual provider Active NPI

Albert Matos, MD

  • General Practice Physician
  • St Petersburg, FL
National Provider Identifier
1053354738
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1252 Issued in FL
Practice address
5800 49TH St N Ste S-207
Saint Petersburg, FL 33709-2146
Phone
(727) 954-7642
Fax
(727) 289-8491
NPI assigned
Jun 13, 2006
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13389 PR
General Practice Physician 208D00000X ACN1252 FL Primary

Addresses

Primary practice location

5800 49TH St N Ste S-207
Saint Petersburg, FL 33709-2146

Mailing address

3223 Park Green Dr
Tampa, FL 33611-4602
Phone (813) 480-2064

Other practice location 1

400 E Dr Martin Luther King Jr Blvd
Tampa, FL 33603-3866
Phone (813) 308-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, 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
I20150630002513 TX Practitioner - General PracticePractitioner - Emergency Medicine 7517139629 Reassigns benefits to 3 organizations
I20201015000128 FL Practitioner - General Practice 7517139629 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1252FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Ricky P. Lockett, D.O, PA CurrentSince Sep 3, 2025 Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Mar 25, 2017 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince May 27, 2015 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Apr 18, 2017 Accepting new patients
Primera Health Center Inc General Practice CurrentSince Sep 1, 2025 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince May 27, 2015 Accepting new patients
Ana L Guadalupe Santiago Past Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients
Southern Health Care Group, Inc. General Practice PastSince Oct 20, 2019 Accepting new patients
Excellence Emergency Group CSP Past Accepting new patients

Locations

8900 N Armenia Ave
Ste 102
Tampa, FL 33604
Phone (813) 284-7100

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1053354738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 PARK GREEN DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336114602",
            "telephone_number": "813-480-2064",
            "fax_number": "727-289-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N STE S-207",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337092146",
            "telephone_number": "727-954-7642",
            "fax_number": "727-289-8491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336033866",
            "country_code": "US",
            "telephone_number": "813-308-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATOS",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13389",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.