Active NPI
Mario Felipe Moquete, M.D.
- Gastroenterology Physician
- Kissimmee, FL
National Provider Identifier
1942289558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME78532
- Practice address
- 809 E Oak St
Suite 201
Kissimmee, FL 34744-5834 - Phone
- (407) 944-0002
- Fax
- (407) 944-0098
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME78532 | FL | Primary |
Addresses
Primary practice location
809 E Oak St
Suite 201
Kissimmee, FL 34744-5834
Mailing address
809 E Oak St
Ste 201
Kissimmee, FL 34744-5834
Phone (407) 944-0002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257091200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- mmoquete593508@direct.shands.ufl.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1942289558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 E OAK ST",
"address_2": "STE 201",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347445834",
"telephone_number": "407-944-0002",
"fax_number": "407-944-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 E OAK ST",
"address_2": "SUITE 201",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347445834",
"telephone_number": "407-944-0002",
"fax_number": "407-944-0098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOQUETE",
"first_name": "MARIO",
"middle_name": "FELIPE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME78532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257091200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.