NPIMap

Individual provider Active NPI

Richard Fontanez Aldea, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lady Lake, FL
National Provider Identifier
1548435969
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
ME139464 Issued in FL
Practice address
809 CR 466
C-201
Lady Lake, FL 32159
Phone
(352) 775-2055
NPI assigned
Apr 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17117 PR
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X ME139464 FL Primary

Addresses

Primary practice location

809 CR 466
C-201
Lady Lake, FL 32159

Mailing address

3951 NW 48TH Ter Ste 211
Gainesville, FL 32606-7230
Phone (352) 265-4450

Other identifiers 1

IdentifierTypeStateIssuer
103964700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321002058 FL Practitioner - Preventive MedicinePractitioner - Undersea and Hyperbaric Medicine 7810059540 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nautilus Health Care Group LLCGroup PAC ID 5991604852, 51 clinicians

Practice addresses (Care Compare)

3951 NW 48TH Ter
Suite 211
Gainesville, FL 32606-7230
Phone (352) 265-4450

Hospital & facility affiliations

  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1056
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17117PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nautilus Health Care Group, LLC Undersea and Hyperbaric Medicine CurrentSince Jul 1, 2021 Accepting new patients
Curelogics Wound Care and Hyperbaric LLC Undersea and Hyperbaric Medicine CurrentSince Mar 1, 2019 Accepting new patients
Florida Post Acute Care Clinicians, LLC General Practice CurrentSince Aug 30, 2021 Accepting new patients
Nautilus Health Care Group LLC Undersea and Hyperbaric Medicine CurrentSince Jul 1, 2021 Accepting new patients
Florida Post Acute Care Clinicians, LLC CurrentSince Aug 30, 2021 Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients

Locations

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

3951 NW 48th Ter
Ste 211
Gainesville, FL 32606
Phone (352) 265-4450

820 S Bea Ave
Inverness, FL 34452
Phone (352) 637-1919

5888 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 612-7385

809 Highway 466
Ste 201C
Lady Lake, FL 32159

1350 Sleepy Hill Rd
Lakeland, FL 33810
Phone (863) 529-1588

1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008

1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480

300 NW 1st Ave
Williston, FL 32696
Phone (352) 528-3561

Interoperability endpoints

  • Direct secure messaging: rfontanezaldea557063@direct.shands.ufl.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1209254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1548435969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 NW 48TH TER STE 211",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067230",
            "telephone_number": "352-265-4450",
            "fax_number": "352-627-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CR 466",
            "address_2": "C-201",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-775-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANEZ ALDEA",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-27",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17117",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME139464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103964700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.