Active NPI
Thomas Matese, DO
- Internal Medicine Physician
- Loxahatchee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS0006269
- Practice address
- 13001 State Road 80
Loxahatchee, FL 33470-9203 - Phone
- (561) 798-3300
- NPI assigned
- Mar 9, 2006
- Last updated
- Jul 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS0006269 | FL | Primary |
Addresses
Primary practice location
13001 State Road 80
Loxahatchee, FL 33470-9203
Mailing address
PO Box 863641
Orlando, FL 32886-3641
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372571500 | Medicaid | FL | |
| 80880 | Other | FL | BCBS |
| P00347899 | Other | RAILROAD MEDICARE |
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0006269 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| Paragon Contracting Services LLC | Current | Accepting new patients | |
| Inphynet Contracting Services LLC | Past | Accepting new patients | |
| Emcare Physician Providers, Inc. | Past | Accepting new patients | |
| Emergency Physician Enterprises | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
660 S US Highway 1
Vero Beach, FL 32962
Phone (772) 461-4000
1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Interoperability endpoints
- tmatese20384@jupitermedicalcenter.direct-ci.com
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Punta Gorda, FL
- NPI 1376592063
-
- Emergency Medicine Physician
- Loxahatchee, FL
- NPI 1871588897
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1578531109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863641",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328863641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 STATE ROAD 80",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334709203",
"telephone_number": "561-798-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATESE",
"first_name": "THOMAS",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS0006269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372571500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "80880",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00347899",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.