Mauricio Concha, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME69547 Issued in FL

Practice address

2881 Hyde Park St
Sarasota, FL 34239-3228

Phone

(941) 906-7155

Fax

(941) 330-2905

NPI assigned

Feb 6, 2006

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Neurology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Empath Home Health Home health agency, Fort Myers, FL, CCN 109786
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
• Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mauricio.concha@img.directbygreenway.com

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.

• Intercoastal Medical Group Inc

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1578537767

  Neurology

  Medicare reassignment Care Compare group NPD
• University of Miami

  dba UMiami Medicine - Neurology

  • Neurology Physician
  • Miami, FL
  • NPI 1588613939
  NPD (past)
• University of Miami

  dba UMiami Medicine - Neurocritical Care

  • Neurocritical Care Physician
  • Miami, FL
  • NPI 1669888509

  Neurology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• KB Health Solutions, LLC

  dba Empath Home Health

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1659675106
  Care Compare affiliation
• Sarasota County Public Hospital District

  dba Sarasota Memorial Hospital - Venice

  • General Acute Care Hospital
  • North Venice, FL
  • NPI 1013534445
  Care Compare affiliation
• Sarasota County Public Hospital District

  dba Sarasota Memorial Hospital

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1093787780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 HYDE PARK ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393228",
            "telephone_number": "941-906-7155",
            "fax_number": "941-330-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 HYDE PARK ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393228",
            "telephone_number": "941-906-7155",
            "fax_number": "941-330-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCHA",
        "first_name": "MAURICIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME69547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mauricio.Concha@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2881 Hyde Park St",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342393228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Compton
• Kimberly Ann Compton, FNP
• Concentric Homecare, LLC (Concierge Home Care)
• Rene Daniel Concepcion Jr., PTA
• Concerned Care LLC
• Concierge Hearing Devices, LLC
• Mark Michael Condiotte, PH.D.
• Semiramida F Condoianis, DDS
• Rebecca Cone, MOT, OTR/L
• Confidence Psychiatric Associates

• Neurology Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.

Verify at the official NPI Registry.