Individual provider Active NPI

Emmanuel Mompi, MD

  • Gastroenterology Physician
  • Tampa, FL
National Provider Identifier
1124099742
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0074183 Issued in FL
Practice address
3228 Cove Bend Dr
Tampa, FL 33613-2752
Phone
(813) 983-0700
Fax
(813) 983-0600
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0074183 FL Primary

Addresses

Primary practice location

3228 Cove Bend Dr
Tampa, FL 33613-2752

Mailing address

PO Box 48396
Tampa, FL 33647-0146
Phone (813) 983-0700

Other identifiers 1

IdentifierTypeStateIssuer
253753200MedicaidFL

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
I20041101000197 FL Practitioner - Gastroenterology 6507828746 Practice locations: Tampa, FL; Temple Terrace, FL

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
College of Medicine and Surgery, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3228 Cove Bend Dr
Tampa, FL 33613-2752
Phone (813) 983-0700

341 Bullard Pkwy
Temple Terrace, FL 33617-5544
Phone (813) 983-0700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy602
Upper gastrointestinal (GI) endoscopy for acid reflux289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0074183FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emmanuel Mompi MD Gastroenterology PastSince Jan 1, 1990 Accepting new patients
South Island Medical Associates PC Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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 2

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1124099742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48396",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336470146",
            "telephone_number": "813-983-0700",
            "fax_number": "813-983-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 COVE BEND DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132752",
            "telephone_number": "813-983-0700",
            "fax_number": "813-983-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMPI",
        "first_name": "EMMANUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "0074183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253753200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.