Individual provider Active NPI

Mario Felipe Moquete, M.D.

  • Gastroenterology Physician
  • Kissimmee, FL
National Provider Identifier
1942289558
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME78532 Issued in FL
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

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
257091200MedicaidFL

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

  • Direct secure messaging: 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.

Verify at the official NPI Registry.