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NPISignal

Individual Healthcare Provider

Mariano De La Mata, M.D.

NPI Record: ActiveEmergency Medicine
NPI1396841623
Windermere, Florida

Provider's NPPES record last updated: December 18, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1396841623
Primary Specialty
Emergency Medicine
Practice Location
Windermere, Florida
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 8:21 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Emergency Medicine

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 207P00000X
  • Pediatrics

    Allopathic & Osteopathic Physicians

    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

    Taxonomy code 208000000X
  • Internal Medicine

    Allopathic & Osteopathic Physicians

    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.

    Taxonomy code 207R00000X

Provider-Reported License Information

Emergency Medicine (Wyoming)
14898A
Emergency Medicine (Florida)
ME99936
Pediatrics (Florida)
ME99936
Internal Medicine (Florida)
ME99936
Emergency Medicine (West Virginia)
19293
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

13506 Summerport Village Pkwy

#341

Windermere, Florida 34786-7366

Phone: (865) 406-9069

Additional Practice Location

1200 J D Anderson Dr

Morgantown, West Virginia 26505-3494

Phone: (304) 598-1200

Additional Practice Location

140 Middletown Loop

Fairmont, West Virginia 26554-8701

Phone: (304) 598-1914

Additional Practice Location

150 Memorial Dr

Kingwood, West Virginia 26537-1141

Phone: (304) 329-1400

Additional Practice Location

600 E Dixie Ave

Leesburg, Florida 34748-5925

Phone: (352) 323-5200

Additional Practice Location

3800 Meggison Rd

The Villages, Florida 32163-3028

Phone: (352) 643-7555

Additional Practice Location

1451 El Camino Real

The Villages, Florida 32159-0041

Phone: (352) 643-7555

Additional Practice Location

17021 US Highway 441

Mount Dora, Florida 32757-6734

Phone: (352) 720-7999

Additional Practice Location

4405 S US Highway 27

Clermont, Florida 34711-5384

Phone: (352) 720-7999

Record Information

Enumeration Date
September 15, 2006
Provider's NPPES Record Last Updated
December 18, 2025
Certification Date
December 18, 2025
NPISignal NPPES Dataset
August 2026

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