NPIMap

Individual provider Active NPI

Fabrizio Monge, M.D.

  • Pulmonary Disease Physician
  • Punta Gorda, FL
National Provider Identifier
1972605434
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME100488 Issued in FL
Practice address
25086 Olympia Ave
Suite 300
Punta Gorda, FL 33950-3933
Phone
(941) 205-5300
Fax
(941) 205-5302
NPI assigned
Sep 3, 2006
Last updated
Dec 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME100488 FL Primary

Addresses

Primary practice location

25086 Olympia Ave
Suite 300
Punta Gorda, FL 33950-3933

Mailing address

4235 Kings Hwy
Suite 103
Port Charlotte, FL 33980-8421
Phone (941) 613-1777

Other identifiers 2

IdentifierTypeStateIssuer
35131OtherFLBCBS
000330600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080726000138 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 1850399627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Sleep and Critical Care Specialists PLGroup PAC ID 6901032630, 9 clinicians

Practice addresses (Care Compare)

4235 Kings Hwy
Unit 103
Port Charlotte, FL 33980-8421
Phone (941) 613-1777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
97.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME100488FLMDPulmonary Disease Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1972605434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 KINGS HWY",
            "address_2": "SUITE 103",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808421",
            "telephone_number": "941-613-1777",
            "fax_number": "941-613-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25086 OLYMPIA AVE",
            "address_2": "SUITE 300",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503933",
            "telephone_number": "941-205-5300",
            "fax_number": "941-205-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGE",
        "first_name": "FABRIZIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME100488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "35131",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000330600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.