Active NPI
Veronica Mardo, M.D.
- Family Medicine Physician
- Land O Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME92695
- Practice address
- 2100 Via Bella Blvd Ste 103
Land O Lakes, FL 34639-5429 - Phone
- (813) 712-5718
- Fax
- (813) 355-5029
- NPI assigned
- May 2, 2007
- 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 |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | ME92695 | FL | |
| Family Medicine Physician | 207Q00000X | ME92695 | FL | Primary |
Addresses
Primary practice location
2100 Via Bella Blvd Ste 103
Land O Lakes, FL 34639-5429
Mailing address
38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 712-5718
Other practice location 1
2 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 821-8038
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87912 | Other | FL | BLUE CROSS BLUE SHIELD |
| 278225100 | Medicaid | FL |
Other names 1
- Veronica Rioja Maldonado
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pclol@flmed.directbygreenway.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | vmardo214242@direct.tgh.org |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2100 Via Bella Blvd
Suite 102
Land O Lakes, FL 34639-5429
Phone (813) 712-5718
Hospital & facility affiliations
- Pinnacle Home Care Inc
- Adventhealth Wesley Chapel
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME92695 | FL | MD | Clinical Genetics (M.D.) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Service Association Inc | Current | Accepting new patients | |
| Florida Medical Clinic LLC | Current | Accepting new patients | |
| Ohi West Medical Group II LLC | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Florida Medical Clinic, LLC | Current | Accepting new patients | |
| Ohi West Medical Group II LLC | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Ohi West Medical Group II LLC | Past | Accepting new patients |
Locations
2100 Via Bella Blvd
Ste 103
Land O Lakes, FL 34639
Phone (813) 712-5700
2100 Via Bella Blvd
Ste 102
Land O Lakes, FL 34639
Phone (813) 712-5718
2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8700
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
27343 Wesley Chapel Blvd
Wesley Chapel, FL 33544
Phone (813) 780-8440
38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651
38107 Market Square Dr
Zephyrhills, FL 33542
Phone (813) 780-1555
38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188
Interoperability endpoints
- vmardo214242@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 9
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.
-
- General Practice Physician
- Zephyrhills, FL
- NPI 1982381299
-
- Clinic/Center
- Zephyrhills, FL
- NPI 1821055690
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- Pharmacy
- Zephyrhills, FL
- NPI 1669548020
-
- Durable Medical Equipment & Medical Supplies
- Wesley Chapel, FL
- NPI 1427814847
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
-
- Physiological Laboratory
- Zephyrhills, FL
- NPI 1679344394
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
-
- Home Health Agency
- Oldsmar, FL
- NPI 1902871031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1992927982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38135 MARKET SQ",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335427505",
"telephone_number": "813-712-5718",
"fax_number": "813-355-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 VIA BELLA BLVD STE 103",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346395429",
"telephone_number": "813-712-5718",
"fax_number": "813-355-5029"
}
],
"practiceLocations": [
{
"address_1": "2 Tampa General Cir",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063571",
"country_code": "US",
"telephone_number": "813-821-8038",
"fax_number": "813-974-4325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARDO",
"first_name": "VERONICA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "FL",
"license": "ME92695",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME92695",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "87912",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278225100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pclol@flmed.directbygreenway.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2100 Via Bella Blvd Ste 103",
"city": "Land O Lakes",
"state": "FL",
"country_code": "US",
"postal_code": "346395429",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vmardo214242@direct.tgh.org",
"affiliation": "N",
"address_1": "2 Tampa General Cir",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063571",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "VERONICA",
"last_name": "RIOJA MALDONADO",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Land O Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.