Active NPI
Max Kenny Fon Sing, MD
- Internal Medicine Physician
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME102048
- Practice address
- 1291 Bloomingdale Ave
Brandon, FL 33596-6168 - Phone
- (813) 653-1800
- Fax
- (813) 651-0932
- NPI assigned
- Aug 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME102048 | FL | Primary |
Addresses
Primary practice location
1291 Bloomingdale Ave
Brandon, FL 33596-6168
Mailing address
1291 Bloomingdale Ave
Valrico, FL 33596-6168
Phone (813) 653-1880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000984200 | Medicaid | FL |
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
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1291 Bloomingdale Ave
Valrico, FL 33596-6168
Phone (813) 653-1880
1345 W Bay Dr
202 Optum Largo
Largo, FL 33770-2276
Phone (727) 559-0895
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME102048 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Florida, LLC | Current | Accepting new patients | |
| Optumcare Florida LLC | Internal Medicine | Current | Accepting new patients |
| Ernesto Zavaleta, MD, PA | Internal Medicine | Past | Accepting new patients |
| Optumcare Florida Ci, LLC | Past | Accepting new patients |
Locations
406 W Bloomingdale Ave
Brandon, FL 33511
Phone (813) 653-1880
1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111
1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895
10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093
1291 Bloomingdale Ave
Valrico, FL 33596
Phone (813) 653-1880
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Tampa, FL
- NPI 1659884294
-
- Internal Medicine Physician
- Clermont, FL
- NPI 1649268202
-
- Primary Care Clinic/Center
- Winter Park, FL
- NPI 1720506603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1154436228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1291 BLOOMINGDALE AVE",
"city": "VALRICO",
"state": "FL",
"postal_code": "335966168",
"telephone_number": "813-653-1880",
"fax_number": "813-654-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1291 BLOOMINGDALE AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335966168",
"telephone_number": "813-653-1800",
"fax_number": "813-651-0932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FON SING",
"first_name": "MAX",
"middle_name": "KENNY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2023-03-07",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME102048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000984200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.