Epsaltos Healthcare,PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

EPSALTOS HEALTHCARE,PA

Doing business as

Clinic Time Internal Medicine and Primary Care

Practice address

7657 Cita LN Unit 101
New Port Richey, FL 34653-6221

Phone

(908) 209-4795

NPI assigned

Jul 1, 2016

Last updated

Oct 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wael Fathy Gayd Faltas, M.DNPI 1942458252

Title

President

Phone

(908) 209-4795

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Clinic Time Internal Medicine and Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wael Fathy Gayd Faltas, MD

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1942458252
  Medicare reassignment Authorized official
• Peter S. Mikhail, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • New Port Richey, FL
  • NPI 1518030535
  NPD

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603584000000",
    "number": "1174975106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7657 CITA LN UNIT 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536221",
            "telephone_number": "727-233-1118",
            "fax_number": "727-372-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7657 CITA LN UNIT 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536221",
            "telephone_number": "908-209-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPSALTOS HEALTHCARE,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A",
        "authorized_official_last_name": "FALTAS",
        "authorized_official_first_name": "WAEL",
        "authorized_official_middle_name": "FATHY GAYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-209-4795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IM",
            "identifier": "ME1111714",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinic Time Internal Medicine and Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hilary Englert
• Marilyn Englert, RN, MS, CRC
• Equity Properties LLC. (Suncoast Retreat ALF)
• John M Erhart, M.D
• Shannon L Erickson, LCSW
• Erika Remsberg, LCSW
• Esc New Port Richey, LLC (Brookdale New Port Richey)

• Medical Specialty Clinic/Center in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.