Individual provider Active NPI

Juan M Masi, MD

  • Internal Medicine Physician
  • North Port, FL
National Provider Identifier
1063528230
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0066832 Issued in FL
Practice address
14400 Tamiami TRL
North Port, FL 34287-2703
Phone
(941) 423-5056
Fax
(941) 423-5068
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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 ME0066832 FL Primary

Addresses

Primary practice location

14400 Tamiami TRL
North Port, FL 34287-2703

Mailing address

14400 Tamiami TRL
North Port, FL 34287-2703
Phone (941) 423-5056

Other identifiers 4

IdentifierTypeStateIssuer
10715125OtherFLCAQH
28513OtherFLBC/BS
5215095OtherFLAETNA
P00270116OtherFLRR MEDICARE

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
I20050526000250 FL Practitioner - Internal Medicine 3971545245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Community Physicians of North Port, PAGroup PAC ID 7214950823, 4 clinicians

Practice addresses (Care Compare)

13815 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 426-4900

14400 Tamiami TRL
North Port, FL 34287-2703
Phone (941) 423-5056

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Port Charlotte, FL, CCN 108270
  • Trilogy Home Healthcare Home health agency, Sarasota, FL, CCN 109371
  • Vitalcaring Group Home health agency, Fort Myers, FL, CCN 107630
  • Sunrise Home Health & Supplies LLC Home health agency, Port Charlotte, FL, CCN 107716
  • Aveanna Home Health Home health agency, Sarasota, FL, CCN 108480
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0066832FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Family Medicine CurrentSince Mar 23, 2026 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Mar 23, 2026 Accepting new patients
Community Physicians of North Port PA Family Medicine CurrentSince Jan 1, 2006 Accepting new patients
Gulf Coast Hma Physician Management LLC Family Medicine Past Accepting new patients
Gulf Coast Hma Physician Management LLC Past Accepting new patients

Locations

13815 Tamiami Trl
North Port, FL 34287
Phone (941) 426-4900

14400 Tamiami Trl
North Port, FL 34287
Phone (941) 423-5056

15131 Tamiami Trl
North Port, FL 34287
Phone (941) 423-5056

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: juan.masi@cpnp.directbygreenway.com

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.

Hospital & facility affiliations 10

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1063528230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 TAMIAMI TRL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872703",
            "telephone_number": "941-423-5056",
            "fax_number": "941-423-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 TAMIAMI TRL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872703",
            "telephone_number": "941-423-5056",
            "fax_number": "941-423-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASI",
        "first_name": "JUAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0066832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10715125",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "28513",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5215095",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00270116",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

Verify at the official NPI Registry.