NPIMap

Individual provider Active NPI

Annabelle M Matias, M.D.

  • Internal Medicine Physician
  • Orange Park, FL
National Provider Identifier
1194709725
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME87828 Issued in FL
Practice address
1689 Eagle Harbor Pkwy E
Suite a
Orange Park, FL 32003-4817
Phone
(904) 269-1366
Fax
(904) 264-9750
NPI assigned
Dec 6, 2005
Last updated
Oct 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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 ME87828 FL Primary

Addresses

Primary practice location

1689 Eagle Harbor Pkwy E
Suite a
Orange Park, FL 32003-4817

Mailing address

1689 Eagle Harbor Pkwy E
Suite a
Orange Park, FL 32003-4817
Phone (904) 269-1366

Other identifiers 1

IdentifierTypeStateIssuer
267354100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319000962 FL Practitioner - Internal Medicine 0648160754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1658 St Vincent Way
Middleburg, FL 32068-8459
Phone (904) 354-8200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87828FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Drmatiashealthcenter Internal Medicine Current Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Aug 7, 2015 Accepting new patients
St Vincents Ambulatory Care Inc Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Aug 7, 2015 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jul 1, 2020 Accepting new patients
Physicians Group Services PA Internal Medicine Past Accepting new patients

Locations

2061 Hyde Park Rd
Jacksonville, FL 32210
Phone (904) 553-3601

1545 Branan Field Rd
Ste 1
Middleburg, FL 32068
Phone (904) 450-8575

1658 St Vincents Way
Ste 100
Middleburg, FL 32068
Phone (904) 354-8200

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • Direct secure messaging: annabelle.matias.1@8967.direct.athenahealth.com

Organizations & group practices 6

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1194709725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 EAGLE HARBOR PKWY E",
            "address_2": "SUITE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320034817",
            "telephone_number": "904-269-1366",
            "fax_number": "904-264-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 EAGLE HARBOR PKWY E",
            "address_2": "SUITE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320034817",
            "telephone_number": "904-269-1366",
            "fax_number": "904-264-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIAS",
        "first_name": "ANNABELLE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME87828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267354100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.