Individual provider Active NPI

Antonio L Bunker-Huertas, MD

  • Internal Medicine Physician
  • Zephyrhills, FL
National Provider Identifier
1265546121
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME92962 Issued in FL
Practice address
36763 Eiland Blvd Ste 102
Zephyrhills, FL 33542
Phone
(813) 778-0454
Fax
(813) 377-1699
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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 ME92962 FL Primary

Addresses

Primary practice location

36763 Eiland Blvd Ste 102
Zephyrhills, FL 33542

Mailing address

38135 Market SQ
Zephyrhills, FL 33542-7539
Phone (352) 567-0188

Other practice location 1

3614 W Kennedy Blvd
Suite B
Tampa, FL 33609-2852
Phone (813) 870-2528

Other practice location 2

6836 Medical View Ln
Zephyrhills, FL 33542
Phone (813) 778-0454

Other practice location 3

6836 Medical View Ln
Zephyrhills, FL 33542
Phone (813) 778-0454

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pczh@flmed.directbygreenway.com Health Information Exchange (HIE)

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
I20050923000193 FL Practitioner - Internal Medicine 8729012273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group II LLCGroup PAC ID 0648631192, 407 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

12500 N Dale Mabry Hwy
Tampa, FL 33618-2809

13417 US Hwy 301
Dade City, FL 33525-5446

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

36763 Eiland Blvd
Zephyrhills, FL 33542-0600

36819 Eiland Blvd
Suite 101
Zephyrhills, FL 33542-0600
Phone (813) 778-0408

38051 Market Square Dr
Zephyrhills, FL 33542-7504

38101 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 715-0195

38103 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 778-0414

38105 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 815-5380

38107 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 979-0440

38135 Market Square Dr
Zephyrhills, FL 33542-7505

Hospital & facility affiliations

  • Pinnacle Home Care Inc Home health agency, Trinity, FL, CCN 107797
  • Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME92962FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Clinic LLC CurrentSince Apr 1, 2019 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Apr 1, 2024 Accepting new patients
Ohi West Medical Group II LLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Apr 1, 2019 Accepting new patients
MPN Medical Center Carrollwood Past Accepting new patients
Antonio Bunker-Huertas MD PL Internal Medicine PastSince May 7, 2007 Accepting new patients
Tampa Bay Inpatient Medicine PA Past Accepting new patients
South Tampa Medical Associates Inc Internal Medicine Past Accepting new patients

Locations

6836 Medical View Ln
Zephyrhills, FL 33542
Phone (813) 778-0454

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

36763 Eiland Blvd
Ste 102
Zephyrhills, FL 33542
Phone (813) 778-0454

Interoperability endpoints

  • Direct secure messaging: pczh@flmed.directbygreenway.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1265546121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427539",
            "telephone_number": "352-567-0188",
            "fax_number": "813-355-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36763 EILAND BLVD STE 102",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "33542",
            "telephone_number": "813-778-0454",
            "fax_number": "813-377-1699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3614 W Kennedy Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336092852",
            "country_code": "US",
            "telephone_number": "813-870-2528",
            "fax_number": "813-876-1003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6836 Medical View Ln",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "33542",
            "country_code": "US",
            "telephone_number": "813-778-0454",
            "fax_number": "813-377-1699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6836 Medical View Ln",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "33542",
            "country_code": "US",
            "telephone_number": "813-778-0454",
            "fax_number": "813-377-1699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNKER-HUERTAS",
        "first_name": "ANTONIO",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME92962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pczh@flmed.directbygreenway.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "36763 Eiland Blvd Ste 102",
            "city": "Zephyrhills",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.