Organization Active NPI

Felix Anthony Sosa MD PA

  • Internal Medicine Physician
  • Merritt Island, FL
National Provider Identifier
1174827919
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0066702 Issued in FL
Legal business name
FELIX ANTHONY SOSA MD PA
Practice address
780 E Merritt Island Cswy Ste 6C
Merritt Island, FL 32952-3562
Phone
(321) 631-5555
Fax
(321) 262-0836
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Felix Anthony Sosa, M.D.NPI 1881799880
Title
President
Phone
(321) 631-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0066702 FL Primary

Addresses

Primary practice location

780 E Merritt Island Cswy Ste 6C
Merritt Island, FL 32952-3562

Mailing address

780 E Merritt Island Cswy Ste 6C
Merritt Island, FL 32952-3562
Phone (321) 631-5555

Other identifiers 2

IdentifierTypeStateIssuer
272495200MedicaidFL
EH778AOtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110118000478 FL Part B Supplier - Clinic/Group Practice 5991994204 Receives reassigned benefits from 1 practitioner
Practice locations: Merrit Island, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0955954Felix Anthony Sosa MD PA780 E Merritt Island Causeway, Suite 6C, Merritt Island, FL 32952Certificate of waiverOct 23, 2027

National Provider Directory

National Provider Directory

Locations

5455 N US Highway 1
Ste 1
Cocoa, FL 32927
Phone (321) 631-5555

780 E Merritt Island Cswy
Ste 6C
Merritt Island, FL 32952
Phone (321) 631-5555

780 E Merritt Island Cswy
Merritt Island, FL 32952
Phone (321) 631-5555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1174827919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 E MERRITT ISLAND CSWY STE 6C",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523562",
            "telephone_number": "321-631-5555",
            "fax_number": "321-262-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 E MERRITT ISLAND CSWY STE 6C",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523562",
            "telephone_number": "321-631-5555",
            "fax_number": "321-262-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELIX ANTHONY SOSA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "SOSA",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-631-5555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0066702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272495200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EH778A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.