Active NPI
Maria M Montealegre, M.D.
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1265580146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME86105
- Practice address
- 12171 W Linebaugh Ave
Tampa, FL 33626-1732 - Phone
- (813) 855-5455
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME86105 | FL | Primary |
Addresses
Primary practice location
12171 W Linebaugh Ave
Tampa, FL 33626-1732
Mailing address
12171 W Linebaugh Ave
Tampa, FL 33626-1732
Phone (813) 855-5455
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189854 | Other | FL | AMERIGROUP |
| 81239 | Other | FL | BLUE CROSS |
| 267380100 | Medicaid | FL | |
| CITRUS | Other | FL | 10324701 |
| AVMED | Other | FL | 291054 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031211001075 | FL | Practitioner - General Practice | 0042116725 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1265580146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12171 W LINEBAUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261732",
"telephone_number": "813-855-5455",
"fax_number": "813-855-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12171 W LINEBAUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261732",
"telephone_number": "813-855-5455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEALEGRE",
"first_name": "MARIA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME86105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "189854",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "81239",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267380100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "10324701",
"identifier": "CITRUS",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "291054",
"identifier": "AVMED",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.