Individual provider Active NPI

Todd E. Minga, M.D.

  • Nephrology Physician
  • Panama City, FL
National Provider Identifier
1467458604
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME87183 Issued in FL
Practice address
504 N Macarthur Ave
Panama City, FL 32401-3636
Phone
(850) 769-2158
Fax
(850) 785-9220
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME87183 FL Primary

Addresses

Primary practice location

504 N Macarthur Ave
Panama City, FL 32401-3636

Mailing address

504 N Macarthur Ave
Panama City, FL 32401-3636
Phone (850) 769-2158

Other identifiers 2

IdentifierTypeStateIssuer
P00022610OtherRRB PTAN
266640500MedicaidFL

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
I20100623000846 FL Practitioner - Internal Medicine 6103887062 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87183FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates PA Nephrology CurrentSince Jul 1, 2003 Accepting new patients
University of Alabama at Birmingham Past Accepting new patients
Bayne Jones Army Community Hospital PastSince Mar 29, 2020 Accepting new patients

Locations

504 N MacArthur Ave
Panama City, FL 32401
Phone (850) 769-2158

Organizations & group practices 3

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1467458604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N MACARTHUR AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013636",
            "telephone_number": "850-769-2158",
            "fax_number": "850-785-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N MACARTHUR AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013636",
            "telephone_number": "850-769-2158",
            "fax_number": "850-785-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGA",
        "first_name": "TODD",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME87183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB PTAN",
            "identifier": "P00022610",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266640500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.