Octavio Cosme-Montalvo, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

ME79294 Issued in FL

Practice address

3010 E 138TH Ave Ste 12
Tampa, FL 33613

Phone

(813) 975-2800

Fax

(813) 977-7631

NPI assigned

Aug 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL, NC, KY, WI4 enrollments

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 4

Specialty

Interventional Cardiology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Watauga Medical Center IncGroup PAC ID 2668377474, 95 clinicians

Agnesian Healthcare IncGroup PAC ID 1658289624, 392 clinicians

Arh Tug Valley Health Services, Inc.Group PAC ID 4183953805, 108 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highlands Arh Regional Medical Center Hospital, Prestonsburg, KY, CCN 180005
• SSM Health St Agnes Hospital-Fond Du Lac Hospital, Fond Du Lac, WI, CCN 520088
• Watauga Medical Center Hospital, Boone, NC, CCN 340051
• Waupun Memorial Hospital Hospital, Waupun, WI, CCN 521327
• Ripon Medical Center Hospital, Ripon, WI, CCN 521321

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: octavio.cosme.p1@direct.bondclinicpa.nextgenshare.com

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.

• Arh Tug Valley Health Services, Inc.

  • Multi-Specialty Clinic/Center
  • Paintsville, KY
  • NPI 1588328967
  Medicare reassignment Care Compare group NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment Care Compare group NPD
• Watauga Medical Center Inc

  • General Acute Care Hospital
  • Boone, NC
  • NPI 1205859766

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Agnesian Healthcare, Inc

  • General Acute Care Hospital
  • Fond Du Lac, WI
  • NPI 1346228541
  Medicare reassignment Care Compare group
• North Brevard Medical Support, Inc

  • Multi-Specialty Clinic/Center
  • Titusville, FL
  • NPI 1609834886
  Medicare reassignment NPD
• West Florida Cardiovascular Co-Management Associates, LLC

  • Cardiovascular Disease Physician
  • Tampa, FL
  • NPI 1245776004
  Medicare reassignment NPD
• Greater Tampa Bay Physician Specialists, LLC

  • Surgery Physician
  • Tampa, FL
  • NPI 1528492287
  NPD
• Arh Tug Valley Health Services, Inc.

  • Multi-Specialty Clinic/Center
  • Prestonsburg, KY
  • NPI 1700445319
  NPD
• Arh Tug Valley Health Services, Inc.

  • Diagnostic Radiology Physician
  • Paintsville, KY
  • NPI 1811639297
  NPD
• Watauga Medical Center Inc

  • Land Ambulance
  • Boone, NC
  • NPI 1255120184
  NPD
• Bond Urgent Care LLC

  • Urgent Care Clinic/Center
  • Winter Haven, FL
  • NPI 1235641739
  NPD (past)

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

• Agnesian Healthcare, Inc

  • General Acute Care Hospital
  • Fond Du Lac, WI
  • NPI 1346228541
  Care Compare affiliation
• Arh Tug Valley Health Services, Inc.

  • General Acute Care Hospital
  • Prestonsburg, KY
  • NPI 1043878325
  Care Compare affiliation
• Arh Tug Valley Health Services, Inc.

  • Multi-Specialty Clinic/Center
  • Prestonsburg, KY
  • NPI 1700445319

  Hospital

  Care Compare affiliation
• Ripon Medical Center Inc

  • Critical Access Hospital
  • Ripon, WI
  • NPI 1053362624
  Care Compare affiliation
• Watauga Medical Center Inc

  • General Acute Care Hospital
  • Boone, NC
  • NPI 1205859766
  Care Compare affiliation
• Waupun Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Waupun, WI
  • NPI 1528046737
  Care Compare affiliation
• Waupun Memorial Hospital

  • Critical Access Hospital
  • Waupun, WI
  • NPI 1548248644
  Care Compare affiliation

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1255324000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 E 138TH AVE STE 12",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33613",
            "telephone_number": "813-975-2800",
            "fax_number": "813-977-7631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5112 N Habana Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336146873",
            "country_code": "US",
            "telephone_number": "813-975-2800",
            "fax_number": "813-977-7631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2136 Ashley Oaks Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446902",
            "country_code": "US",
            "telephone_number": "813-975-2800",
            "fax_number": "813-977-7631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Central Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338803053",
            "country_code": "US",
            "telephone_number": "863-293-1191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSME-MONTALVO",
        "first_name": "OCTAVIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME79294",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME79294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "26001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262967400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald Louis Cosentino, DPM
• Amanda Cosgriff
• Sanja Cosic, MD
• Carmen C. Cosio, MD
• Molly Kathleen Cosmar
• Patricia C Cosmelli, DC
• Leonard Y Cosmo, MD
• Matthew Robert Cosnett, ARNP, CRNA
• Arianna Coss
• Erica Cossia, LMHC

• Interventional Cardiology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.