Individual provider Active NPI

Miguel Adan De la Garza, MD

  • Interventional Pain Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1669437869
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME96073 Issued in FL
Practice address
4807 US Highway 19 Ste 102
New Port Richey, FL 34652-4260
Phone
(727) 846-7618
Fax
(727) 849-7090
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME96073 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X ME96073 FL
Interventional Pain Medicine Physician 208VP0014X ME96073 FL Primary

Addresses

Primary practice location

4807 US Highway 19 Ste 102
New Port Richey, FL 34652-4260

Mailing address

4807 US Highway 19 Ste 102
New Port Richey, FL 34652-4260
Phone (727) 846-7618

Other practice location 1

871 Venetia Bay Blvd Ste 350
Venice, FL 34285-8051
Phone (941) 488-5366

Other practice location 2

14028 5th St
Dade City, FL 33525-4311
Phone (352) 567-2700

Other practice location 3

11361 Countryway Blvd
Tampa, FL 33626-2610
Phone (813) 262-1117

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
I20061003000075 FL Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 8325043029 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
University of Texas Southwestern Medical School at Dallas, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Pain Management Partners LLPGroup PAC ID 4981619053, 3 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

4807 US Hwy 19
Suite 102
New Port Richey, FL 34652-4260
Phone (727) 846-7618

8000 State Rd 64
Bradenton, FL 34212-7703
Phone (941) 792-1404

Hospital & facility affiliations

  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035

Merit-based Incentive Payment System (MIPS)

Final score
88.51 of 100Reported as individual
Quality
64.41
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Ranch Anesthesia PL Anesthesiology CurrentSince May 1, 2023 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince May 1, 2023 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Aug 10, 2023 Accepting new patients

Locations

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

8000 State Road 64 E
Bradenton, FL 34212
Phone 94179214043315

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

Interoperability endpoints

  • Direct secure messaging: miguel.de.la.garza.1@8211.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1669437869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 US HIGHWAY 19 STE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524260",
            "telephone_number": "727-846-7618",
            "fax_number": "727-849-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 US HIGHWAY 19 STE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524260",
            "telephone_number": "727-846-7618",
            "fax_number": "727-849-7090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "871 Venetia Bay Blvd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342858051",
            "country_code": "US",
            "telephone_number": "941-488-5366",
            "fax_number": "941-488-2167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14028 5th St",
            "address_purpose": "LOCATION",
            "city": "Dade City",
            "state": "FL",
            "postal_code": "335254311",
            "country_code": "US",
            "telephone_number": "352-567-2700",
            "fax_number": "352-567-2776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11361 Countryway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336262610",
            "country_code": "US",
            "telephone_number": "813-262-1117",
            "fax_number": "813-262-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA GARZA",
        "first_name": "MIGUEL",
        "middle_name": "ADAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME96073",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME96073",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME96073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.