Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mariano De la Mata, MD

Individual provider Emergency Medicine Physician · NPI 1396841623

Dr. Mariano De la Mata, MD is an Emergency Medicine in Windermere, Florida. Graduated from West Virginia University School of Medicine in 2000, 26 years ago. Practices with Monongalia County General Hospital Company, a 245-clinician group, works from 9 locations and accepts Medicare assignment. Licensed in Florida, West Virginia and Wyoming.

Years since qualifying
26
Trained at
West Virginia University School of Medicine
Licensed in
FL, WV, WY
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

13506 Summerport Village Pkwy #341
Windermere, FL 34786-7366
Phone: (865) 406-9069
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (8)

  • 4405 S Us Highway 27, Clermont, FL 34711-5384 — (352) 720-7999
  • 600 E Dixie Ave, Leesburg, FL 34748-5925 — (352) 323-5200
  • 17021 Us Highway 441, Mount Dora, FL 32757-6734 — (352) 720-7999
  • 3800 Meggison Rd, The Villages, FL 32163-3028 — (352) 643-7555
  • 1451 El Camino Real, The Villages, FL 32159-0041 — (352) 643-7555
  • 140 Middletown Loop, Fairmont, WV 26554-8701 — (304) 598-1914
  • 150 Memorial Dr, Kingwood, WV 26537-1141 — (304) 329-1400
  • 1200 J D Anderson Dr, Morgantown, WV 26505-3494 — (304) 598-1200

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 14898A (WY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence ME99936 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME99936 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME99936 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 19293 (WV)

Record details

NPI number1396841623
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Monongalia County General Hospital Company — 245 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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