Active NPI
Wilmer Neptali Mata, M.D.
- Surgery Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME134812
- Practice address
- 15955 SW 96TH St Ste 102
Miami, FL 33196 - Phone
- (786) 467-3435
- Fax
- (786) 533-9383
- NPI assigned
- Mar 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME134812 | FL | Primary |
Addresses
Primary practice location
15955 SW 96TH St Ste 102
Miami, FL 33196
Mailing address
PO Box 198054
Atlanta, GA 30384-8054
Other practice location 1
2001 W 86th St
Indianapolis, IN 46260-1902
Phone (317) 338-2281
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15955 SW 96TH St
Suite 102
Miami, FL 33196-1272
Phone (786) 467-3435
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.99 of 100
- Quality
- 81.94
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME134812 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Physicians LLC | Current | Accepting new patients |
Locations
8400 NW 53rd St
Ste F104
Miami, FL 33166
Phone (786) 595-9900
15955 SW 96th St
Ste 102
Miami, FL 33196
Phone (786) 467-3140
6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240
Interoperability endpoints
- wil19837@cerner.directbaptisthealth.com
Organizations & group practices 1
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.
-
- Specialist
- Miami, FL
- NPI 1891893343
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miami, FL
- NPI 1528042884
-
- General Acute Care Hospital
- South Miami, FL
- NPI 1982688230
-
- General Acute Care Hospital
- Miami, FL
- NPI 1417279936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1104168509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198054",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15955 SW 96TH ST STE 102",
"city": "MIAMI",
"state": "FL",
"postal_code": "33196",
"telephone_number": "786-467-3435",
"fax_number": "786-533-9383"
}
],
"practiceLocations": [
{
"address_1": "2001 W 86th St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462601902",
"country_code": "US",
"telephone_number": "317-338-2281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATA",
"first_name": "WILMER",
"middle_name": "NEPTALI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-23",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME134812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.