Individual provider Active NPI

Javier Andres Lopez Moncayo, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Tampa, FL
National Provider Identifier
1932526514
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME124126 Issued in FL
Practice address
5537 Sheldon Rd Ste K
Tampa, FL 33615-3167
Phone
(813) 885-5817
Fax
(813) 886-9421
NPI assigned
Mar 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A161893 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME124126 FL Primary

Addresses

Primary practice location

5537 Sheldon Rd Ste K
Tampa, FL 33615-3167

Mailing address

5537 Sheldon Rd Ste K
Tampa, FL 33615-3167
Phone (813) 885-5817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160831001203 FL Practitioner - Internal Medicine 0042526857 Reassigns benefits to 1 organization
I20191116000454 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0042526857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

5537 Sheldon Rd
Suite K
Tampa, FL 33615-3167
Phone (813) 885-5817

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161893CAMDGeriatric Medicine (Internal Medicine) Physician
ME124126FLMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 29, 2019 Accepting new patients
Optumcare Florida LLC CurrentSince Jul 2, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 29, 2019 Accepting new patients
Optumcare Florida, LLC CurrentSince Jul 2, 2023 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

15216 Vanowen St
Ste 1A
Van Nuys, CA 91405
Phone (818) 785-7875

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

5537 Sheldon Rd
Ste K
Tampa, FL 33615
Phone (407) 889-4711

Interoperability endpoints

  • Direct secure messaging: javier.lopezmoncayo@wellmed.eclinicaldirectplus.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 1

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": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1932526514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 SHELDON RD STE K",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153167",
            "telephone_number": "813-885-5817",
            "fax_number": "813-886-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5537 SHELDON RD STE K",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153167",
            "telephone_number": "813-885-5817",
            "fax_number": "813-886-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ MONCAYO",
        "first_name": "JAVIER",
        "middle_name": "ANDRES",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-21",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A161893",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME124126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.