Miguel Mateos-Mora, M.D.,

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

ME50407 Issued in FL

Practice address

445 Pineda CT
Melbourne, FL 32940-7536

Phone

(321) 254-1611

Fax

(321) 254-3166

NPI assigned

Sep 16, 2005

Last updated

Oct 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Infectious DiseaseAlso: Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGIDCD

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.

• Brevard Wound Care Center, LLC

  • Infectious Disease Physician
  • Melbourne, FL
  • NPI 1154910271
  Medicare reassignment NPD Authorized official
• Partners in Community Care, LLC

  dba BrevardPICC

  • Primary Care Clinic/Center
  • Rockledge, FL
  • NPI 1700412814
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1992790851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 STILL POINT DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402033",
            "telephone_number": "321-254-1611",
            "fax_number": "321-254-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 PINEDA CT",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407536",
            "telephone_number": "321-254-1611",
            "fax_number": "321-254-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEOS-MORA",
        "first_name": "MIGUEL",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME50407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061083600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Mason, RBT
• Luiz M Massa, M.D.
• Briley Massey, MT-BC
• Tracie L Massey
• Viviane Maria Matarazzo Matchett, ARNP
• Yolanda Mantecon Mateos, MD
• Jenna Marie Matheny, APRN
• Dana Mathew, M.D.
• Sonia Chirayil Mathew
• Sharon Marie Mathier

• Infectious Disease Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.

Verify at the official NPI Registry.