Active NPI
Ricardo Antonio Pineda Gayoso, M.D.
- Internal Medicine Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME152403
- Practice address
- 1839 Central Ave
St. Petersburg, FL 33713-8900 - Phone
- (727) 322-1054
- Fax
- (727) 821-7213
- NPI assigned
- Mar 24, 2019
- Last updated
- Sep 2, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | ME152403 | FL | Primary |
Addresses
Primary practice location
1839 Central Ave
St. Petersburg, FL 33713-8900
Mailing address
1839 Central Ave
St. Petersburg, FL 33713-8900
Phone (727) 322-1054
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E2648 | Other | FL | BCBS |
| 114490400 | Medicaid | FL |
Other names 1
- Ricardo Antonio Pineda
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Docs PC | Internal Medicine | Current | Accepting new patients |
| Professional Health Care of Pinellas Inc. | Current | Accepting new patients | |
| Professional Health Care of Pinellas LLC | Internal Medicine | Current | Accepting new patients |
| QMC LLC | Past | Accepting new patients |
Locations
2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000
830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801
1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIJHAA
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1881647253
-
- Chiropractor
- St Petersburg, FL
- NPI 1568970903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1437619566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 CENTRAL AVE",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "337138900",
"telephone_number": "727-322-1054",
"fax_number": "727-821-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 CENTRAL AVE",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "337138900",
"telephone_number": "727-322-1054",
"fax_number": "727-821-7213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINEDA GAYOSO",
"first_name": "RICARDO",
"middle_name": "ANTONIO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-24",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME152403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "E2648",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114490400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RICARDO",
"last_name": "PINEDA",
"middle_name": "ANTONIO",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 2, 2022; 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.