Active NPI
Adalgiza E Costa Moron, MD
- Internal Medicine Physician
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME108422
- Practice address
- 1200 S Pine Island Rd
Plantation, FL 33324-4413 - Phone
- (877) 570-9359
- NPI assigned
- Jun 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME108422 | FL | Primary |
| Internal Medicine Physician | 207R00000X | 25563 | WV |
Addresses
Primary practice location
1200 S Pine Island Rd
Plantation, FL 33324-4413
Mailing address
200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444
Other practice location 1
200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003276600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6718 Lake Nona Blvd
Suite 120
Orlando, FL 32827-7984
Phone (321) 400-0451
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Development Co | Internal Medicine | Current | Accepting new patients |
| Hospital Development Co | Current | Accepting new patients | |
| Hospital Development Co | Current | Accepting new patients | |
| Hospital Development Co | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Mya Internal Medicine, Inc | Current | Accepting new patients | |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients |
Locations
1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516
6718 Lake Nona Blvd
Ste 120
Orlando, FL 32827
Phone (321) 400-0451
200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444
Interoperability endpoints
- acostamoron25841@orlandohealth.medalliesdirect.net
- acostamo@yourcarecommunity.org
- https://fhir4.healow.com/fhir/r4/AGBFDD/Endpoint/AGBFDD
Organizations & group practices 8
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.
-
- Health Service Clinic/Center
- Orlando, FL
- NPI 1417739517
-
- Rural Health Clinic/Center
- Left Hand, WV
- NPI 1790745677
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Rural Health Clinic/Center
- Arnoldsburg, WV
- NPI 1053059881
-
- Ambulance
- Spencer, WV
- NPI 1710697040
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1962723239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HOSPITAL DR",
"city": "SPENCER",
"state": "WV",
"postal_code": "252761050",
"telephone_number": "304-927-4444",
"fax_number": "304-927-6837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S PINE ISLAND RD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333244413",
"telephone_number": "877-570-9359"
}
],
"practiceLocations": [
{
"address_1": "200 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Spencer",
"state": "WV",
"postal_code": "252761050",
"country_code": "US",
"telephone_number": "304-927-4444",
"fax_number": "304-927-6837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSTA MORON",
"first_name": "ADALGIZA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-21",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME108422",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "25563",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003276600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.