DR. MARIANO DE LA MATA M.D.
NPI 1396841623
Emergency Medicine in Windermere, FL

Q: What is Mariano De La Mata's NPI number?

The NPI number for Mariano De La Mata is 1396841623. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Q: What is Mariano De La Mata's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment

13506 SUMMERPORT VILLAGE PKWY, #341, WINDERMERE, FL 34786(865) 406-9069 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2025, Sep 15, 2025, Dec 13, 2023 and 1 more (4 updates tracked since 2018).

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About Dr. Mariano De La Mata M.d. NPPES

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

DR. MARIANO DE LA MATA M.D. (NPI 1396841623) is an individual emergency medicine provider in Windermere, Florida, licensed in Wyoming (14898A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Uf Health Leesburg Hospital, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1396841623

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. MARIANO DE LA MATACredential: M.D.

Location Address13506 SUMMERPORT VILLAGE PKWY, #341Windermere, FL 34786-7366

Mailing AddressPo Box 100186Gainesville, FL 32610-0186 · (352) 265-5911 · Fax (352) 265-5606

Phone(865) 406-9069

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2000

Enumeration DateSeptember 15, 2006

Last NPPES UpdateDecember 18, 20254 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1396841623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in WY · 14898A✔ Licensed in FL · ME99936✔ Licensed in WV · 19293

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME99936 (FL)

Also ListedPediatricsTaxonomy 208000000X · License ME99936 (FL)

13506 SUMMERPORT VILLAGE PKWY, Windermere, FL 34786

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Secondary Practice Locations 8

Location 11200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1200

Location 2140 Middletown LoopFairmont, WV 26554-8701 · Phone (304) 598-1914

Location 3150 Memorial DrKingwood, WV 26537-1141 · Phone (304) 329-1400

Location 4600 E Dixie AveLeesburg, FL 34748-5925 · Phone (352) 323-5200

Location 53800 Meggison RdThe Villages, FL 32163-3028 · Phone (352) 643-7555

Location 61451 El Camino RealThe Villages, FL 32159-0041 · Phone (352) 643-7555

Location 717021 US Highway 441Mount Dora, FL 32757-6734 · Phone (352) 720-7999

Location 84405 S US Highway 27Clermont, FL 34711-5384 · Phone (352) 720-7999

Other Identifiers 4

Medicaid3856126TN

Other4102788TN · Bcbs Of Tennessee

Medicaid3943623TN

Medicaid64049224KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, CHRISTUS Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mariano De La Mata 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 ID6901866250

PECOS Enrollment IDI20081114000456, I20170410000885

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.

Areas of Expertise CMS Part B claims 6

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

230 services219 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

188 services182 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

156 services153 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

105 services103 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

25 services24 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

18 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Uf Health Leesburg Hospital

Acute Care Hospitals · Leesburg, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100084

Location600 E Dixie AveLeesburg, FL 34748 · Lake County

Emergency services Birthing friendly

Mariners Hospital

Critical Access Hospitals · Tavernier, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number101313

Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County

Emergency services

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510024

Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County

Emergency services Birthing friendly

Mon Health Marion

Acute Care Hospitals · Whitehall, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number510093

Location140 Middletown LoopWhitehall, WV 26554 · Marion County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34786 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLY JAFRATE PTA

Physical Therapy Assistant

13506 SUMMERPORT VILLAGE PKWY, SUITE 410
WINDERMERE, FL 34786

Orange County (407) 905-9300

CONCIERGE FAMILY MEDICAL, LLC

Nurse Practitioner (Family)

13506 SUMMERPORT VILLAGE PKWY, STE 735
WINDERMERE, FL 34786

Orange County (407) 414-5377

BRIDGEPORT SENIOR LIVING - PORT ISLE LLC

Technician (Attendant Care Provider)

13506 SUMMERPORT VILLAGE PKWY, #129
WINDERMERE, FL 34786

Orange County (407) 760-3649

BRIDGEPORT SENIOR LIVING - PORT ISLE

Assisted Living Facility

13506 SUMMERPORT VILLAGE PKWY, 129
WINDERMERE, FL 34786

Orange County (407) 203-0868

HYPERFLOW MEDICAL, LLC

Anesthesiology

13506 SUMMERPORT VILLAGE PKWY, SUITE 811
WINDERMERE, FL 34786

Orange County (407) 353-7098

JENNIFER PELZ

Speech-Language Pathologist

13506 SUMMERPORT VILLAGE PKWY, SUITE 410
WINDERMERE, FL 34786

Orange County (407) 905-9300

ROSEMARIE MURRAY-LANSING CRNA

Nurse Anesthetist, Certified Registered

13506 SUMMERPORT VILLAGE PKWY, #403
WINDERMERE, FL 34786

Orange County (727) 403-7541

DR. KIMBERLY ANN BRUNO-DE LA MATA M.D.

Emergency Medicine

13506 SUMMERPORT VILLAGE PKWY, #341
WINDERMERE, FL 34786

Orange County (865) 363-3330

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 Mariano De La Mata's NPI number?

The NPI number for Mariano De La Mata is 1396841623. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Mariano De La Mata located?

Mariano De La Mata practices at 13506 Summerport Village Pkwy #341, Windermere, FL 34786. The listed phone number is (865) 406-9069.

What is Mariano De La Mata's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mariano De La Mata enrolled in Medicare?

Yes. Mariano De La Mata 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.

What insurance does Mariano De La Mata accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, CareSource and Oscar Insurance Company list Mariano De La Mata 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 Mariano De La Mata affiliated with any hospitals?

According to CMS data, Mariano De La Mata is affiliated with Uf Health Leesburg Hospital, Mariners Hospital, Mon Health Medical Center and Mon Health Marion.

When was this NPI record last updated?

The NPPES record for Mariano De La Mata was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.