Individual provider Active NPI

David Michael Mayer, MD

  • Internal Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1174533137
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME151218 Issued in FL
Practice address
4546 Grand Blvd
New Port Richey, FL 34652-5119
Phone
(844) 665-4827
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME151218 FL Primary

Addresses

Primary practice location

4546 Grand Blvd
New Port Richey, FL 34652-5119

Mailing address

8400 NW 33Rd St Ste 201
Doral, FL 33122-1937
Phone (844) 665-4827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, 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
I20040708000313 RI Practitioner - Internal Medicine 5991783979 Practice locations: Warwick, RI
I20231219004051 FL Practitioner - Internal Medicine 5991783979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidewell Sanitas I, LLCGroup PAC ID 9537447107, 124 clinicians

Practice addresses (Care Compare)

3617 W Hillsborough Ave
Tampa, FL 33614-5713
Phone (844) 665-4827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC CurrentSince Nov 20, 2023 Accepting new patients
Ocean State Primary Care LLC Internal Medicine PastSince Jul 25, 2021 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020

Interoperability endpoints

  • Direct secure messaging: david.mayer@wwmp.eclinicaldirectplus.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1174533137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 NW 33RD ST STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221937",
            "telephone_number": "844-665-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 GRAND BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525119",
            "telephone_number": "844-665-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME151218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.