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NEW AGE MEDICAL CENTER
NPI 1508053091
Internal Medicine in Brooksville, FL

Active since September 27, 2007
12142 CORTEZ BLVD, BROOKSVILLE, FL 34613(352) 596-9095(352) 596-9271 Get Directions Write a Review

NPPES record last updated: July 20, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About New Age Medical Center NPPES

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

NEW AGE MEDICAL CENTER (NPI 1508053091) is a healthcare organization registered as an internal medicine in Brooksville, Florida and active in the NPI registry since September 2007. The organization lists Doris Carmen Cifuentes, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1508053091
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNEW AGE MEDICAL CENTER
Location Address12142 CORTEZ BLVDBrooksville, FL 34613
Mailing Address12142 Cortez BlvdBrooksville, FL 34613 · (352) 596-9095 · Fax (352) 596-9271
Phone(352) 596-9095
Fax(352) 596-9271
Organization SubpartNo
Authorized OfficialDoris Carmen CifuentesVice-president · (352) 596-9095
Enumeration DateSeptember 27, 2007
Last NPPES UpdateJuly 20, 2010
✔ NPI 1508053091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/CenterTaxonomy 261Q00000X
12142 CORTEZ BLVD, Brooksville, FL 34613
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Other Identifiers 1

Medicare PINK4538

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Age Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to New Age Medical Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Moreno, M.D
Internal Medicine
NPI 1225045156
12142 CORTEZ BLVD
Brooksville, FL 34613
(352) 596-9095
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2086493

New Age Medical Center · Brooksville, FL
Expired · Nov 4, 2026
CLIA Number10D2086493
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorDavid Moreno
Laboratory Phone(352) 596-9095
Laboratory LocationNew Age Medical Center12142 Cortez Blvd, Brooksville, FL 34613
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 New Age Medical Center's NPI number?

The NPI number for New Age Medical Center is 1508053091. It was assigned to this organization in the NPPES registry on September 27, 2007.

Where is New Age Medical Center located?

New Age Medical Center is located at 12142 Cortez Blvd, Brooksville, FL 34613. The listed phone number is (352) 596-9095.

What is New Age Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is New Age Medical Center enrolled in Medicare?

Yes. New Age Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Age Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to New Age Medical Center. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for New Age Medical Center was last updated on July 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.