Active NPI
Mercedes Montealegre MD PA
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1467640987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME86105
- Legal business name
- MERCEDES MONTEALEGRE MD PA
- Practice address
- 12171 W Linebaugh Ave
Tampa, FL 33626-1732 - Phone
- (813) 855-5455
- Fax
- (813) 855-9258
- NPI assigned
- Oct 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maria Mercedes Montealegre, M.D.
- Title
- Doctor
- Phone
- (813) 855-5455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME86105 | FL | Primary |
Addresses
Primary practice location
12171 W Linebaugh Ave
Tampa, FL 33626-1732
Mailing address
12171 W Linebaugh Ave
Tampa, FL 33626-1732
Phone (813) 855-5455
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189854 | Other | FL | AMERIGROUP |
| 10324701 | Other | FL | CITRUS |
| 267380100 | Medicaid | FL | |
| 291054 | Other | FL | AVMED |
| 81239 | Other | FL | BLUE CROSS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1018853 | Mercedes Montealegre MD PA at Westchase | Certificate of waiver | Nov 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
9872 W Linebaugh Ave
Tampa, FL 33626
Phone (813) 920-3500
12171 W Linebaugh Ave
Westchase, FL 33626
Phone (813) 855-5455
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Integrative Medicine Physician
- Tampa, FL
- NPI 1649050568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469059200000",
"number": "1467640987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12171 W LINEBAUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261732",
"telephone_number": "813-855-5455",
"fax_number": "813-855-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12171 W LINEBAUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261732",
"telephone_number": "813-855-5455",
"fax_number": "813-855-9258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCEDES MONTEALEGRE MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-10",
"last_updated": "2016-07-21",
"status": "A",
"authorized_official_last_name": "MONTEALEGRE",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "MERCEDES",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "813-855-5455",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME86105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "189854",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS",
"identifier": "10324701",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267380100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "291054",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "81239",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.