Individual provider Active NPI

Matthew James Umholtz, D.O.

  • Anesthesiology Physician
  • Brooksville, FL
National Provider Identifier
1831417286
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS 12498 Issued in FL
Practice address
16120 Perimeter Dr
Brooksville, FL 34614-2507
Phone
(813) 340-2698
NPI assigned
May 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X OS 12498 FL Primary

Addresses

Primary practice location

16120 Perimeter Dr
Brooksville, FL 34614-2507

Mailing address

16120 Perimeter Dr
Brooksville, FL 34614-2507
Phone (813) 340-2698

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
I20140805001107 FL Practitioner - Anesthesiology 5496972077 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

11375 Cortez Blvd
SR50
Brooksville, FL 34613-5409
Phone (352) 596-6632

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 12498FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Jul 18, 2016 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology Current Accepting new patients
Ams National LLC Anesthesiology CurrentSince Aug 29, 2024 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Jul 18, 2016 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology CurrentSince Jun 1, 2014 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology Current Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology CurrentSince Jun 1, 2014 Accepting new patients
North Pinellas Anesthesia Associates, PA Anesthesiology CurrentSince Jun 1, 2014 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Jul 14, 2024 Accepting new patients

Locations

12900 Cortez Blvd
Ste 103
Brooksville, FL 34613
Phone (352) 596-1145

1901 Ulmerton Rd
Ste 450
Clearwater, FL 33762
Phone (727) 210-8104

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

12180 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 596-4999

11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

1350 E Venice Ave
Venice, FL 34285
Phone (941) 445-5054

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1831417286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16120 PERIMETER DR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346142507",
            "telephone_number": "813-340-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16120 PERIMETER DR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346142507",
            "telephone_number": "813-340-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMHOLTZ",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-10",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS 12498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.