MARIANO DE LA MATA M.D. – NPI #1396841623
Emergency Medicine

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.

Health Care Provider Taxonomy Code for Emergency Medicine

MARIANO DE LA MATA is a physician located in WINDERMERE, FL. NPPES has assigned the NPI number 1396841623 to MARIANO DE LA MATA on September 15, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 8 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was last updated on Dec 18, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARIANO DE LA MATA below.

NPI Profile for
MARIANO DE LA MATA

NPI Number
1396841623
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARIANO DE LA MATA
Credentials
M.D.
Primary location
13506 SUMMERPORT VILLAGE PKWY
#341
WINDERMERE, FL 34786-7366
Phone: (865) 406-9069 Fax:
8 Other location(s):
4405 S US Highway 27
Clermont, FL 34711-5384
Phone: (352) 720-7999
600 E Dixie Ave
Leesburg, FL 34748-5925
Phone: (352) 323-5200
17021 US Highway 441
Mount Dora, FL 32757-6734
Phone: (352) 720-7999
1451 El Camino Real
The Villages, FL 32159-0041
Phone: (352) 643-7555
3800 Meggison Rd
The Villages, FL 32163-3028
Phone: (352) 643-7555
140 Middletown Loop
Fairmont, WV 26554-8701
Phone: (304) 598-1914
150 Memorial Dr
Kingwood, WV 26537-1141
Phone: (304) 329-1400
1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone: (304) 598-1200
Mailing address
PO BOX 100186
GAINESVILLE, FL 32610-0186
Phone: (352) 265-5911 Fax: (352) 265-5606
Sole Proprietor
No
Updated
Certification Date
Dec 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARIANO DE LA MATA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBS OF TENNESSEETN4102788
medicaidKY64049224
medicaidTN3856126
medicaidTN3943623
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)		 FL ME99936
208000000X
- Pediatrics		 FL ME99936
207R00000X
- Internal Medicine		 FL ME99936

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE - Graduated 2000
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARIANO DE LA MATA is affiliated with the following medical group(s):
  • HOSPITAL
    • KNAPP MEDICAL CENTER
      1401 EAST EIGHT STREET
      WESLACO, TX 78596
    • LEHIGH REGIONAL MEDICAL CENTER
      1500 LEE BLVD
      LEHIGH ACRES, FL 33936
    • MARINERS HOSPITAL
      91500 OVERSEAS HIGHWAY
      TAVERNIER, FL 33070

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How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.