Individual provider Active NPI

Mamta Tarak Choksi, M.D.

  • Medical Oncology Physician
  • Trinity, FL
National Provider Identifier
1780644351
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME91652 Issued in FL
Practice address
9320 State Road 54
Trinity, FL 34655-1808
Phone
(727) 493-2513
Fax
(877) 917-2336
NPI assigned
Mar 27, 2006
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X ME91652 FL
Medical Oncology Physician 207RX0202X ME91652 FL Primary

Addresses

Primary practice location

9320 State Road 54
Trinity, FL 34655-1808

Mailing address

PO Box 102222
Attn: Credential Department
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other identifiers 3

IdentifierTypeStateIssuer
P00296457OtherFLRAILROAD MEDICARE
018539900MedicaidFL
273935600MedicaidFL

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
I20051216000165 FL Practitioner - Hematology/Oncology 3274554332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11063 County Line Rd
Spring Hill, FL 34609-5696
Phone (352) 688-7744

1396 Whisper Cir
Sebring, FL 33870-1204
Phone (863) 385-1244

2848 Ctr Pointe Dr
FL 1
Fort Myers, FL 33916-9521
Phone (239) 561-9622

2890 Ctr Pointe Dr
Fort Myers, FL 33916-9521

2895 Hueland Pond Blvd
Suite 100
Wesley Chapel, FL 33543-7504
Phone (813) 279-7107

3402 W Dr Martin Luther King Jr BLV
Florida Cancer Specialists PL
Tampa, FL 33607-6214
Phone (813) 875-3950

3840 Broadway
Fort Myers, FL 33901-8108
Phone (239) 275-6400

400 Pinellas St
Suite 300
Clearwater, FL 33756-3314
Phone (727) 447-8100

600 N Cattleman Road
200 Florida Cancer Specialists P L
Sarasota, FL 34232-6422
Phone (941) 377-9993

7154 Medical Ctr Dr
Spring Hill, FL 34608-1329
Phone (352) 596-1926

750 Orienta Ave
Altamonte Springs, FL 32701-5621
Phone (407) 553-7710

7651 Medical Dr
Hudson, FL 34667-6594
Phone (727) 868-9208

9320 State Rd
Suite 54
Trinity, FL 34655-1808
Phone (727) 842-8411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC Hematology CurrentSince Oct 31, 2021 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology CurrentSince Jan 1, 2012 Accepting new patients

Locations

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

10441 Quality Dr
Ste 203
Spring Hill, FL 34609
Phone (352) 683-7566

8763 River Crossing Blvd
Trinity, FL 34655
Phone (727) 788-4350

9320 State Road 54
Trinity, FL 34655
Phone (727) 493-2513

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1780644351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "address_2": "ATTN: CREDENTIAL DEPARTMENT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 STATE ROAD 54",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551808",
            "telephone_number": "727-493-2513",
            "fax_number": "877-917-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOKSI",
        "first_name": "MAMTA",
        "middle_name": "TARAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME91652",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME91652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00296457",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018539900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273935600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.