Individual provider Active NPI

Jose A Prieto, M.D.

  • Maternal & Fetal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1376573782
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME 70330 Issued in FL
Practice address
625 6TH Ave S
Ste 340
St Petersburg, FL 33701-4662
Phone
(727) 553-7903
Fax
(727) 553-7905
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X ME 70330 FL Primary

Addresses

Primary practice location

625 6TH Ave S
Ste 340
St Petersburg, FL 33701-4662

Mailing address

625 6TH Ave S
Ste 340
St Petersburg, FL 33701-4662
Phone (727) 553-7903

Other identifiers 1

IdentifierTypeStateIssuer
022803300MedicaidFL

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
I20111201000423 FL Practitioner - Obstetrics/Gynecology 2062686041 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Miami, LM Miller School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Neonatology, IncGroup PAC ID 0446387641, 17 clinicians
Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

Practice addresses (Care Compare)

501 6TH Ave S
Saint Petersburg, FL 33701-4634

700 6TH St S
FL 2
St Petersburg, FL 33701-4815
Phone (727) 893-6198

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 70330FLMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Mar 20, 2020 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
West Coast Neonatology, Inc. Maternal & Fetal Medicine CurrentSince Sep 23, 2019 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Oct 1, 2020 Accepting new patients
All Children'S OB/GYN Specialists CurrentSince Sep 23, 2019 Accepting new patients
MCR Health, Inc. CurrentSince Mar 20, 2020 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Oct 1, 2020 Accepting new patients
MCR Health, Inc. Past Accepting new patients

Locations

6040 State Road 70 E
Unit A
Bradenton, FL 34203
Phone (941) 316-8200

2318 Manatee Ave W
Bradenton, FL 34205
Phone (941) 714-7150

6040 State Road 70 E
Bradenton, FL 34203
Phone (941) 316-8200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

700 6th St S
Fl 2
St Petersburg, FL 33701
Phone (727) 893-6198

5959 Central Ave
Ste 103
St Petersburg, FL 33710
Phone (727) 767-6060

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060

625 6th Ave S
Ste 340
St Petersburg, FL 33701
Phone (727) 553-7903

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jprieto733547@direct.hopkinsmedicine.org
  • Direct secure messaging: jprieto189265@orlandohealth.medalliesdirect.net
  • Direct secure messaging: jose.prieto.1@11352.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1376573782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S",
            "address_2": "STE 340",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014662",
            "telephone_number": "727-553-7903",
            "fax_number": "727-553-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S",
            "address_2": "STE 340",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014662",
            "telephone_number": "727-553-7903",
            "fax_number": "727-553-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME 70330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022803300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.