Individual provider Active NPI

Ernest Fontecha

  • Internal Medicine Physician
  • Riverview, FL
National Provider Identifier
1114230232
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME166594 Issued in FL
Practice address
3140 S Falkenburg Rd Ste 302
Riverview, FL 33578-2594
Phone
(813) 660-6400
Fax
(813) 660-6699
NPI assigned
Jul 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A139358 CA
Internal Medicine Physician 207R00000X 125057972 IL
Internal Medicine Physician 207R00000X 25MA10668500 NJ
Internal Medicine Physician 207R00000X ME166594 FL Primary

Addresses

Primary practice location

3140 S Falkenburg Rd Ste 302
Riverview, FL 33578-2594

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 660-6400

Other practice location 1

456 Prospect Ave
West Orange, NJ 07052-4112
Phone (973) 731-6767

Other practice location 2

50100 Golsh Rd
Valley Center, CA 92082
Phone (760) 749-1410 ext. 5296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191120001988 NJ Practitioner - Internal Medicine 0244523090 Reassigns benefits to 1 organization
I20240328002288 FL Practitioner - Family Practice 0244523090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

3140 S Falkenburg Rd
Suite 302
Riverview, FL 33578-2594
Phone (813) 660-6400

Hospital & facility affiliations

  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A139358CAMDInternal Medicine Physician
125057972ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc CurrentSince Mar 1, 2024 Accepting new patients
Robert Wood Johnson Medical Associates at Hamilton PA CurrentSince Jan 1, 2021 Accepting new patients
Robert Wood Johnson Medical Associates at Hamilton PA CurrentSince Jan 1, 2021 Accepting new patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Mar 1, 2024 Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc Past Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

3140 S Falkenburg Rd
Ste 302
Riverview, FL 33578
Phone (813) 660-6400

328 W Saint Georges Ave
Linden, NJ 07036
Phone (608) 925-2273

90 US Highway 22 W
Springfield, NJ 07081
Phone (973) 467-0963

456 Prospect Ave
West Orange, NJ 07052
Phone (908) 925-2273

Interoperability endpoints

  • Direct secure messaging: efontecha292219@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

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 1

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": "1279411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1114230232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "813-660-6400",
            "fax_number": "813-660-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 S FALKENBURG RD STE 302",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335782594",
            "telephone_number": "813-660-6400",
            "fax_number": "813-660-6699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "456 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070524112",
            "country_code": "US",
            "telephone_number": "973-731-6767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50100 Golsh Rd",
            "address_purpose": "LOCATION",
            "city": "Valley Center",
            "state": "CA",
            "postal_code": "92082",
            "country_code": "US",
            "telephone_number": "760-749-1410 x5296",
            "fax_number": "760-749-2151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTECHA",
        "first_name": "ERNEST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-18",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A139358",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125057972",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10668500",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME166594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.