Individual provider Active NPI

Ma Teresita Dela Rosa Ribay, M.D.

  • Pediatrics Physician
  • Ocala, FL
National Provider Identifier
1265414353
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME70012 Issued in FL
Practice address
1025 SW 1St Ave
Ocala, FL 34471-0900
Phone
(352) 732-6599
Fax
(352) 732-4816
NPI assigned
Nov 15, 2005
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C52090 CA
Pediatrics Physician 208000000X ME70012 FL Primary

Addresses

Primary practice location

1025 SW 1St Ave
Ocala, FL 34471-0900

Mailing address

PO Box 3953
Ocala, FL 34478-3953
Phone (352) 732-6599

Other identifiers 2

IdentifierTypeStateIssuer
250444800MedicaidFL
2504448-00MedicaidFL

Other names 1

  • Ma. Teresita Carangal Dela Rosa Former name

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
I20051214000192 FL Practitioner - Pediatric Medicine 6709805526 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52090CAMDOrthodontics and Dentofacial Orthopedic Dentist
C52090CAMDPediatrics Physician
ME70012FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Florida Health Center Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: materesita.ribay@myhfhc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1265414353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3953",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344783953",
            "telephone_number": "352-732-6599",
            "fax_number": "352-732-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710900",
            "telephone_number": "352-732-6599",
            "fax_number": "352-732-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBAY",
        "first_name": "MA TERESITA",
        "middle_name": "DELA ROSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C52090",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME70012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250444800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2504448-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA. TERESITA",
            "last_name": "DELA ROSA",
            "middle_name": "CARANGAL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.