Individual provider Active NPI

Alfredo Cartaya, MD

  • Family Medicine Physician
  • Defuniak Springs, FL
National Provider Identifier
1447218102
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME20546 Issued in FL
Practice address
4415 U.S. Hwy 331 South
Defuniak Springs, FL 32435-6307
Phone
(850) 951-4556
Fax
(850) 951-4527
NPI assigned
May 3, 2006
Last updated
Sep 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME20546 FL
Family Medicine Physician 207Q00000X ME20546 FL Primary

Addresses

Primary practice location

4415 U.S. Hwy 331 South
Defuniak Springs, FL 32435-6307

Mailing address

4415 US Highway 331 S
Defuniak Springs, FL 32435-6307
Phone (850) 951-4556

Other identifiers 2

IdentifierTypeStateIssuer
051523089MedicaidAL
051529330MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20546FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri Hospital MRI Center Past Accepting new patients
Southland Medical Solutions of Eufaula, PL Emergency Medicine Past Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients
Mobile Emergency Group PC Emergency Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1447218102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 US HIGHWAY 331 S",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324356307",
            "telephone_number": "850-951-4556",
            "fax_number": "850-951-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 U.S. HWY 331 SOUTH",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324356307",
            "telephone_number": "850-951-4556",
            "fax_number": "850-951-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTAYA",
        "first_name": "ALFREDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME20546",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME20546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051523089",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051529330",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Defuniak Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.