Individual provider Active NPI

Sandra Maritza Jara, MD

  • Gastroenterology Physician
  • Tampa, FL
National Provider Identifier
1003905605
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME88282 Issued in FL
Practice address
10034 Cypress Shadow Ave
Tampa, FL 33647-1858
Phone
(813) 994-2486
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME88282 FL Primary

Addresses

Primary practice location

10034 Cypress Shadow Ave
Tampa, FL 33647-1858

Mailing address

10034 Cypress Shadow Ave
Tampa, FL 33647-1858
Phone (813) 994-2486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081017000074 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 1456419605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Florida College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1064 Goodlette-Frank Rd N
Naples, FL 34102-5449
Phone (239) 649-1186

4790 Barkley Cir
Suite a
Fort Myers, FL 33907-7593
Phone (239) 275-8882

9776 Bonita Beach Rd SE
Suite 202F
Bonita Springs, FL 34135-4775
Phone (239) 275-8882

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy307
Upper gastrointestinal (GI) endoscopy for acid reflux292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Southwest Florida LLC Gastroenterology CurrentSince Apr 1, 2023 Accepting new patients
Gulfshore Anesthesia Services LLC Current Accepting new patients
Gastroenterology Group of Naples PA Gastroenterology CurrentSince Jan 1, 2016 Accepting new patients

Locations

4790 Barkley Cir
Ste A
Fort Myers, FL 33907
Phone (239) 275-8882

1064 Goodlette Rd
Naples, FL 34102
Phone (239) 649-1186

Networks

  • FL HMO C-SNP
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • AL HMO D-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • AL HMO
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef

Interoperability endpoints

  • Direct secure messaging: sandra.jara@ud.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003905605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10034 CYPRESS SHADOW AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471858",
            "telephone_number": "813-994-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10034 CYPRESS SHADOW AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471858",
            "telephone_number": "813-994-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARA",
        "first_name": "SANDRA",
        "middle_name": "MARITZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME88282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.