Organization Active NPI

Clemente P Nunag MD PA

  • Family Medicine Physician
  • Weeki Wachee, FL
National Provider Identifier
1780645333
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME33352 Issued in FL
Legal business name
CLEMENTE P NUNAG MD PA
Practice address
10222 Yale Ave
Weeki Wachee, FL 34613-8375
Phone
(352) 597-9797
Fax
(352) 597-5556
NPI assigned
Mar 31, 2006
Last updated
Nov 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Dr. Joel Mendoza Nunag, MDNPI 1174526040
Title
Physician
Phone
(352) 597-9797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME33352 FL Primary
Family Medicine Physician 207Q00000X ME82024 FL
Internal Medicine Physician 207R00000X ME89446 FL
Internal Medicine Physician 207R00000X ME82024 FL

Addresses

Primary practice location

10222 Yale Ave
Weeki Wachee, FL 34613-8375

Mailing address

10222 Yale Ave
Weeki Wachee, FL 34613-8375
Phone (352) 597-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040426001130 FL Part B Supplier - Clinic/Group Practice 5991792723 Receives reassigned benefits from 2 practitioners
Practice locations: Brooksville, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0700272Clemente P Nunag MD PA10222 Yale Avenue, Brooksville, FL 34613Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1312 Lori Dr
Spring Hill, FL 34606
Phone (352) 683-3052

10222 Yale Ave
Weeki Wachee, FL 34613
Phone (352) 597-9797

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1780645333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10222 YALE AVE",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346138375",
            "telephone_number": "352-597-9797",
            "fax_number": "352-597-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 YALE AVE",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346138375",
            "telephone_number": "352-597-9797",
            "fax_number": "352-597-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENTE P NUNAG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "NUNAG",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "MENDOZA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-597-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME33352",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME82024",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME89446",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME82024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weeki Wachee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.