Individual provider Active NPI

Alberto Ignasio Motta, MD

  • Anesthesiology Physician
  • Sunrise, FL
National Provider Identifier
1073670790
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME38449 Issued in FL
Practice address
2120 NW 107TH Ter
Sunrise, FL 33322-3418
Phone
(954) 741-0636
NPI assigned
Jan 2, 2007
Last updated
Sep 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME38449 FL Primary

Addresses

Primary practice location

2120 NW 107TH Ter
Sunrise, FL 33322-3418

Mailing address

PO Box 550979
Tampa, FL 33655-0979
Phone (800) 910-9207

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
I20051207000171 FL Practitioner - Anesthesiology 8820018799 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME38449FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Jan 1, 2011 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59, LLC CurrentSince Mar 9, 2014 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology Current Accepting new patients
Select Specialty Hospital - Palm Beach Inc. CurrentSince Apr 1, 2016 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Jan 1, 2011 Accepting new patients
KND Development 59, LLC CurrentSince Mar 9, 2014 Accepting new patients
Timeframe, Inc. Past Accepting new patients
Northwest Anesthesiologist Group PA Past Accepting new patients
Millennium Anesthesia PA Anesthesiology Past Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

6806 N State Road 7
Coconut Creek, FL 33073
Phone (954) 312-3350

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107

3060 Melaleuca Ln
Palm Springs, FL 33461
Phone (561) 357-7200

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

4399 N Nob Hill Rd
Sunrise, FL 33351
Phone (566) 904-1230

7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001

2229 N Commerce Pkwy
Weston, FL 33326
Phone (954) 389-2446

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1073670790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550979",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336550979",
            "telephone_number": "800-910-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 NW 107TH TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223418",
            "telephone_number": "954-741-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTA",
        "first_name": "ALBERTO",
        "middle_name": "IGNASIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME38449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.