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MARIO E PROFET MD, RDMS, RDCS, RPVI
NPI 1487795092
General Practice in Tampa, FL

Active since February 08, 2007PECOS Enrolled
11017 N DALE MABRY HWY STE B, TAMPA, FL 33618(813) 337-7402(813) 461-6462 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 24, 2019, Aug 26, 2019, Jul 10, 2019 (3 updates tracked since 2019).

About Mario E Profet Md, Rdms, Rdcs, Rpvi NPPES

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

MARIO E PROFET MD, RDMS, RDCS, RPVI (NPI 1487795092) is an individual general practice provider in Tampa, Florida, licensed in Florida (ME135981) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487795092
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMARIO E PROFETCredential: MD, RDMS, RDCS, RPVI
Location Address11017 N DALE MABRY HWY STE BTampa, FL 33618-3873
Mailing Address11017 N Dale Mabry Hwy Ste BTampa, FL 33618-3873 · (133) 377-4028 · Fax (813) 461-6462
Phone(813) 337-7402
Fax(813) 461-6462
Sole ProprietorYes
Enumeration DateFebruary 8, 2007
Last NPPES UpdateOctober 24, 20193 updates tracked since enumeration
✔ NPI 1487795092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ME135981✔ Licensed in FL · ACN304
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSpecialist/Technologist Cardiovascular · SonographyTaxonomy 246XS1301X · License 76083
Also ListedRadiologic Technologist · SonographyTaxonomy 2471S1302X · License 76083
Also ListedRadiologic Technologist · Vascular SonographyTaxonomy 2471V0105X · License 76083
11017 N DALE MABRY HWY STE B, Tampa, FL 33618
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mario E Profet Md, Rdms, Rdcs, Rpvi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers11 claims41 services$7.07 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier11 claims21 services$14.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

PALM MEDICAL CENTER LAKELAND LLC
General Practice
11017 N DALE MABRY HWY STE B
TAMPA, FL 33618
Hillsborough County (813) 337-7402
DR PROFET HEALTH & WELLNESS CENTER LLC
General Practice
11017 N DALE MABRY HWY STE B
TAMPA, FL 33618
Hillsborough County (813) 337-7402
HEALTH HOLDINGS COMPANY LLC
Clinic/Center
11017 N DALE MABRY HWY STE B
TAMPA, FL 33618
Hillsborough County (813) 337-7402

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 Mario Profet's NPI number?

The NPI number for Mario Profet is 1487795092. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Mario Profet located?

Mario Profet practices at 11017 N Dale Mabry Hwy Ste B, Tampa, FL 33618. The listed phone number is (813) 337-7402.

What is Mario Profet's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mario Profet enrolled in Medicare?

Yes. Mario Profet is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mario Profet was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.