Active NPI
Jose A Prieto, M.D.
- Maternal & Fetal Medicine Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- ME 70330
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022803300 | Medicaid | FL |
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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 70330 | FL | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| West Coast Neonatology, Inc. | Maternal & Fetal Medicine | Current | Accepting new patients |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| All Children'S OB/GYN Specialists | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Current | 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
- jprieto733547@direct.hopkinsmedicine.org
- jprieto189265@orlandohealth.medalliesdirect.net
- 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.
-
- Cardiovascular Disease Physician
- St Petersburg, FL
- NPI 1518572551
-
- Neonatal-Perinatal Medicine Physician
- St Petersburg, FL
- NPI 1225085715
Maternal & Fetal Medicine
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Obstetrics & Gynecology Physician
- St Petersburg, FL
- NPI 1710213525
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Radiology Clinic/Center
- St Petersburg, FL
- NPI 1285240192
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Family Medicine Physician
- Bradenton, FL
- NPI 1730115882
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.