Active NPI
Ernest Fontecha
- Internal Medicine Physician
- Riverview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME166594
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
3140 S Falkenburg Rd
Suite 302
Riverview, FL 33578-2594
Phone (813) 660-6400
Hospital & facility affiliations
- Tampa General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A139358 | CA | MD | Internal Medicine Physician |
| 125057972 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Robert Wood Johnson Medical Associates at Hamilton PA | Current | Accepting new patients | |
| Robert Wood Johnson Medical Associates at Hamilton PA | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | 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
- efontecha292219@direct.tgh.org
- 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.
-
- Surgery Physician
- Tampa, FL
- NPI 1043557853
-
- General Practice Physician
- Linden, NJ
- NPI 1619206828
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Cardiovascular Disease Physician
- Sun City Center, FL
- NPI 1144910316
-
- Clinic/Center
- Tampa, FL
- NPI 1710692447
-
- General Practice Physician
- Secaucus, NJ
- NPI 1265012660
-
- Family Medicine Physician
- Tampa, FL
- NPI 1164769063
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.