Active NPI
Louis Profeta, MD
- Emergency Medicine Physician
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME164638
- Practice address
- 615 N Bonita Ave
Panama City, FL 32401-3623 - Phone
- (850) 769-1511
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01041413 | IN | |
| Emergency Medicine Physician | 207P00000X | ME164638 | FL | Primary |
Addresses
Primary practice location
615 N Bonita Ave
Panama City, FL 32401-3623
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Other practice location 1
11111 Panama City Beach Pkwy
Panama City Beach, FL 32407-2448
Phone (850) 769-1511
Other practice location 2
2001 W 86th St
Indianapolis, IN 46260-1902
Phone (317) 802-3140
Other practice location 3
3801 E Highway 98
Port St Joe, FL 32456-5318
Phone (806) 853-7111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100338950 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 N Bonita Ave
Panama City, FL 32401-3623
Phone (850) 769-1511
Hospital & facility affiliations
- Ascension St Vincent Hospital
- Ascension St Vincent Carmel
- Ascension St Vincent Fishers
- Ascension St Vincent Kokomo
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME164638 | FL | MD | Emergency Medicine Physician |
| 01041413 | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
11111 Panama City Beach Pkwy
Panama City Beach, FL 32407
Phone (850) 236-8655
3801 E Highway 98
Port St Joe, FL 32456
Phone (850) 229-5600
9613 E US Highway 36
Avon, IN 46123
Phone (317) 415-5980
13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000
13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
8451 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 884-7540
8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970
1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890
2412 E Main St
Plainfield, IN 46168
Phone (317) 204-6800
1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1659134393
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1548912553
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St Vincent Fishers
- General Acute Care Hospital
- Fishers, IN
- NPI 1881956167
-
dba Ascension St. Vincent Kokomo
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
-
dba Ascension St. Vincent Carmel
- General Acute Care Hospital
- Carmel, IN
- NPI 1639124134
-
dba Ascension St. Vincent Hospital
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
dba Ascension St. Vincent - Avon
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1063506830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CUMMINS DR STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953586411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N BONITA AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013623",
"telephone_number": "850-769-1511"
}
],
"practiceLocations": [
{
"address_1": "11111 Panama City Beach Pkwy",
"address_purpose": "LOCATION",
"city": "Panama City Beach",
"state": "FL",
"postal_code": "324072448",
"country_code": "US",
"telephone_number": "850-769-1511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 W 86th St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462601902",
"country_code": "US",
"telephone_number": "317-802-3140",
"fax_number": "317-870-0499",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3801 E Highway 98",
"address_purpose": "LOCATION",
"city": "Port St Joe",
"state": "FL",
"postal_code": "324565318",
"country_code": "US",
"telephone_number": "806-853-7111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROFETA",
"first_name": "LOUIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01041413",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME164638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100338950",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
- Primary Care & Functional Medicine Consultants LLC
- Primecare of NW FL (PrimeCare)
- April Proctor
- Monica Monique Proctor, M.S.
- Professional Health Care Services Inc (PHCS Home Medical Equipment)
- Pronto Healthcare LLC
- Prosper Functional Health LLC
- Providence Medical Transportation LLC
- Linda P Prowse
- Bryan Pruess, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.