Active NPI
Mathew Peralta, M.D.
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1225399116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME140301
- Practice address
- 4137 Hunters Park LN
Orlando, FL 32837-7669 - Phone
- (407) 261-2934
- Fax
- (407) 636-7811
- NPI assigned
- Jun 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 29955 | NE | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | Q3765 | TX | |
| Pediatrics Physician | 208000000X | ME140301 | FL | Primary |
Addresses
Primary practice location
4137 Hunters Park LN
Orlando, FL 32837-7669
Mailing address
4137 Hunters Park LN
Orlando, FL 32837-7669
Phone (407) 261-2934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME140301 | FL | MD | Pediatrics Physician |
| 29955 | NE | MD | Pediatrics Physician |
| Q3765 | TX | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Physicians Network Inc | Past | Accepting new patients |
Interoperability endpoints
- mperalta27170@orlandohealth.medalliesdirect.net
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.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1568693554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1225399116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4137 HUNTERS PARK LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328377669",
"telephone_number": "407-261-2934",
"fax_number": "407-636-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4137 HUNTERS PARK LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328377669",
"telephone_number": "407-261-2934",
"fax_number": "407-636-7811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA",
"first_name": "MATHEW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-06",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "29955",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "TX",
"license": "Q3765",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME140301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.