NPIMap

Individual provider Active NPI

Mario Talanga, DO

  • Internal Medicine Physician
  • Bayonet Point, FL
National Provider Identifier
1144717943
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS17023 Issued in FL
Practice address
7575 State Road 52
Bayonet Point, FL 34667-6716
Phone
(727) 861-9800
NPI assigned
Apr 17, 2018
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X UO5931 FL
Internal Medicine Physician 207R00000X OS17023 FL Primary

Addresses

Primary practice location

7575 State Road 52
Bayonet Point, FL 34667-6716

Mailing address

7575 State Road 52
Bayonet Point, FL 34667-6716
Phone (727) 861-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210428001855 FL Practitioner - Internal Medicine 1557779733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of West FLGroup PAC ID 0941307698, 10 clinicians

Practice addresses (Care Compare)

7575 State Rd
Suite 52
Bayonet Point, FL 34667-6787
Phone 7278619800223

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS17023FLMDInternal Medicine Physician
UO5931FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of West FL Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients

Locations

7575 State Road 52
Hudson, FL 34667
Phone (727) 726-8871

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJIECA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bear Creek Nursing CenterHudson, FL, CCN 105393 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 20, 2008
Feb 20, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1144717943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 STATE ROAD 52",
            "city": "BAYONET POINT",
            "state": "FL",
            "postal_code": "346676716",
            "telephone_number": "727-861-9800",
            "fax_number": "207-436-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 STATE ROAD 52",
            "city": "BAYONET POINT",
            "state": "FL",
            "postal_code": "346676716",
            "telephone_number": "727-861-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALANGA",
        "first_name": "MARIO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UO5931",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS17023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonet Point, FL

Sources for this page

Verify at the official NPI Registry.