MARTIN E MALDONADO-ALFANDARI M.D.
NPI 1053403923
Internal Medicine - Gastroenterology in Tampa, FL

Q: What is Martin Maldonado-alfandari's NPI number?

The NPI number for Martin Maldonado-alfandari is 1053403923. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Martin Maldonado-alfandari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment

14547 BRUCE B. DOWNS BLVD., TAMPA, FL 33613(813) 280-7100(813) 355-5023 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2021, Aug 10, 2019 (2 updates tracked since 2019).

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About Martin E Maldonado-alfandari M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN E MALDONADO-ALFANDARI M.D. (NPI 1053403923) is an individual gastroenterology provider in Tampa, Florida, licensed in Florida (ME70575) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Tampa, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1053403923

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMARTIN E MALDONADO-ALFANDARICredential: M.D.

Location Address14547 BRUCE B. DOWNS BLVD.Tampa, FL 33613

Mailing Address38135 Market SquareZephyrhills, FL 33542 · (813) 528-4975

Phone(813) 280-7100

Fax(813) 355-5023

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateSeptember 29, 2006

Last NPPES UpdateMay 23, 20242 updates tracked since enumeration

NPPES CertifiedMay 23, 2024

✔ NPI 1053403923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in FL · ME70575

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

14547 BRUCE B. DOWNS BLVD., Tampa, FL 33613

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Other Identifiers 2

Other100012607FL · Rr Medicare

Medicaid256542100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Martin E Maldonado-alfandari M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628035334

PECOS Enrollment IDI20041214001090

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Martin Maldonado-alfandari reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Medical Clinic LLC

21 mi

Clinic/Center

38135 MARKET SQUARE
Zephyrhills, FL 33542

Reassigned Medicare billing, Florida enrollment
451 clinicians in this Medicare group

NPI 1821055690 (813) 780-8440

Ohi West Medical Group II LLC

21 mi

General Practice

38135 MARKET SQUARE DR
Zephyrhills, FL 33542

Reassigned Medicare billing, Florida enrollment
467 clinicians in this Medicare group

NPI 1982381299 (813) 780-8774

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

278 services207 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

192 services160 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

83 services82 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

79 services77 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

43 services43 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

32 services32 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

26 services26 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

21 services19 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

16 services16 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100173

Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Maldonado-alfandari's NPI number?

The NPI number for Martin Maldonado-alfandari is 1053403923. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Martin Maldonado-alfandari located?

Martin Maldonado-alfandari practices at 14547 Bruce B. Downs Blvd., Tampa, FL 33613. The listed phone number is (813) 280-7100.

What is Martin Maldonado-alfandari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Martin Maldonado-alfandari enrolled in Medicare?

Yes. Martin Maldonado-alfandari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Martin Maldonado-alfandari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Maldonado-alfandari reassigns Medicare benefits to 2 organizations: Florida Medical Clinic LLC (Zephyrhills, FL) and Ohi West Medical Group II LLC (Zephyrhills, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martin Maldonado-alfandari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martin Maldonado-alfandari accept?

Health plans from AmeriHealth Caritas Next, AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Martin Maldonado-alfandari as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Martin Maldonado-alfandari affiliated with any hospitals?

According to CMS data, Martin Maldonado-alfandari is affiliated with Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Martin Maldonado-alfandari was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.