Individual Healthcare Provider
Mariano De La Mata, M.D.
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 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
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.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Emergency Medicine
Allopathic & Osteopathic Physicians
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 208000000XInternal 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
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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