Active NPI
Milan C Mathew, MD MPH FACP
- Internal Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME131071
- Practice address
- 5130 Sunforest Dr Ste 300
Tampa, FL 33634-6327 - Phone
- (727) 824-0780
- Fax
- (813) 514-8891
- NPI assigned
- Aug 21, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME131071 | FL | Primary |
| Internal Medicine Physician | 207R00000X | 231634 | MA | |
| Internal Medicine Physician | 207R00000X | LP00154 | RI |
Addresses
Primary practice location
5130 Sunforest Dr Ste 300
Tampa, FL 33634-6327
Mailing address
5130 Sunforest Dr Ste 300
Tampa, FL 33634-6327
Phone (727) 824-0780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023859200 | Medicaid | FL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1345 W Bay Dr
202 Optum Largo
Largo, FL 33770-2276
Phone (727) 559-0895
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME131071 | FL | MD | Internal Medicine Physician |
| LP00154 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Florida LLC | Internal Medicine | Current | Accepting new patients |
| Optumcare Florida, LLC | Current | Accepting new patients | |
| Optumcare Florida Ci, LLC | Past | Accepting new patients |
Locations
1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895
10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093
5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 3
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.
-
dba Optum
- General Practice Physician
- Tampa, FL
- NPI 1053384214
Internal Medicine
-
- Primary Care Clinic/Center
- Winter Park, FL
- NPI 1720506603
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tampa General Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1881700284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 SUNFOREST DR STE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336346327",
"telephone_number": "727-824-0780",
"fax_number": "813-514-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 SUNFOREST DR STE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336346327",
"telephone_number": "727-824-0780",
"fax_number": "813-514-8891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "MILAN",
"middle_name": "C",
"credential": "MD MPH FACP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME131071",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "231634",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP00154",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023859200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.
- 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.