Individual provider Active NPI

Carlos Antonio Fumero, M.D.

  • Internal Medicine Physician
  • Plant City, FL
National Provider Identifier
1184710501
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 94508 Issued in FL
Practice address
205 N Plant Ave
Plant City, FL 33563-4731
Phone
(813) 876-3636
Fax
(813) 870-0077
NPI assigned
Oct 4, 2006
Last updated
Sep 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 94508 FL Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME94508 FL

Addresses

Primary practice location

205 N Plant Ave
Plant City, FL 33563-4731

Mailing address

5301 N Habana Ave
Ste 1
Tampa, FL 33614-6890
Phone (813) 876-3636

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111013000466 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 0749452894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Area Endocrinology Associates LLCGroup PAC ID 0547414328, 4 clinicians

Practice addresses (Care Compare)

205 N Plant Ave
Plant City, FL 33563-4731
Phone (813) 754-1871

2352 Creel LN
Wesley Chapel, FL 33544-4621
Phone (813) 876-3636

38022 Medical Ctr Ave
Zephyrhills, FL 33540-1383
Phone (813) 876-3636

4816 N Armenia Ave
Tampa, FL 33603-1400
Phone (813) 876-3636

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 94508FLMDInternal Medicine Physician
ME94508FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Assisted Care Services CurrentSince Dec 7, 2025 Accepting new patients
Bay Area Endocrinology P.a. Endocrinology, Diabetes & Metabolism CurrentSince Sep 7, 2011 Accepting new patients
Bay Area Endocrinology Associates LLC Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2013 Accepting new patients

Locations

205 N Plant Ave
Plant City, FL 33563
Phone (813) 754-1871

4816 N Armenia Ave
Tampa, FL 33603
Phone (813) 443-0866

4816 N Armenia Ave
Ste A
Tampa, FL 33603
Phone (813) 443-0866

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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 3

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1184710501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 N HABANA AVE",
            "address_2": "STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146890",
            "telephone_number": "813-876-3636",
            "fax_number": "813-870-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N PLANT AVE",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634731",
            "telephone_number": "813-876-3636",
            "fax_number": "813-870-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUMERO",
        "first_name": "CARLOS",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 94508",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME94508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.