NPIMap

Organization Active NPI

Midway Specialty Care Center Inc

  • Infectious Disease Physician
  • Fort Pierce, FL
National Provider Identifier
1376970814
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
MIDWAY SPECIALTY CARE CENTER INC
Practice address
356 E Midway Rd
Fort Pierce, FL 34982-7148
Phone
(772) 464-9746
NPI assigned
Sep 30, 2013
Last updated
Sep 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Dr. Moti N Ramgopal, MDNPI 1457329450
Title
Medical Director
Phone
(772) 464-9746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X NU Primary

Addresses

Primary practice location

356 E Midway Rd
Fort Pierce, FL 34982-7148

Mailing address

356 E Midway Rd
Fort Pierce, FL 34982-7148

Other identifiers 1

IdentifierTypeStateIssuer
009849200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131211000645 FL Part B Supplier - Clinic/Group Practice 9638306087 Receives reassigned benefits from 51 practitioners
Practice locations: Orlando, FL; Winter Park, FL; Wilton Manors, FL; West Palm Beach, FL; Temple Terrace, FL; Tampa, FL; Saint Petersburg, FL; Port St Lucie, FL…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2119227Midway Specialty Care Center356 E Midway Rd, Fort Pierce, FL 34982Certificate of waiverSep 20, 2026

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1434 Kennedy Dr
Ste 1
Key West, FL 33040
Phone (305) 204-4392

3661 S Miami Ave
Ste 1002
Miami, FL 33133
Phone (305) 542-7592

1700 66th St N
Ste 510
St Petersburg, FL 33710
Phone (727) 384-2479

3317 W Gandy Blvd
#340B972000
Tampa, FL 33611

5224 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 712-1565

1515 N Flagler Dr
Ste 340
West Palm Beach, FL 33401
Phone (561) 249-2279

2500 NW 15th Ct
Wilton Manors, FL 33311
Phone (772) 742-9276

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1376970814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 E MIDWAY RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 E MIDWAY RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827148",
            "telephone_number": "772-464-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY SPECIALTY CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "RAMGOPAL",
        "authorized_official_first_name": "MOTI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "772-464-9746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009849200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.