Jorge Alfonso, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME83696 Issued in FL

Practice address

10900 SE 174TH Place Rd
Summerfield, FL 34491-8984

Phone

(352) 820-3401

Fax

(352) 820-3402

NPI assigned

Sep 12, 2006

Last updated

Apr 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• FL HMO
• FL HMO D-SNP
• FL PPO
• Optimum HealthCare HMO Network
• Freedom Health HMO Network
• FL HMO C-SNP

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JAICDA/Endpoint/JAICDA

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

• Florida Medical Specialists LLC

  dba Cancer Center of Sarasota

  • Hematology & Oncology Physician
  • Sarasota, FL
  • NPI 1750399598
  Medicare reassignment Care Compare group NPD
• Florida Medical Specialists LLC

  dba Cancer Center of Sarasota Manatee

  • Hematology & Oncology Physician
  • Lakewood Ranch, FL
  • NPI 1891419925
  NPD
• Florida Medical Specialists, LLC

  dba Encarnacion

  • Internal Medicine Physician
  • Dunedin, FL
  • NPI 1851056428
  NPD
• Best Value Healthcare LLC

  dba MaxHealth

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1790152015
  NPD (past)
• Center for Specialized Dentistry, LLC

  • Periodontics
  • Stuart, FL
  • NPI 1780708701
  NPD (past)
• Florida Medical Specialists LLC

  dba MAXhealth Sarasota

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1164795563
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1003910654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-202-5342",
            "fax_number": "877-807-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 SE 174TH PLACE RD",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918984",
            "telephone_number": "352-820-3401",
            "fax_number": "352-820-3402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5814 Seven Mile Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wildwood",
            "state": "FL",
            "postal_code": "347858869",
            "country_code": "US",
            "telephone_number": "352-815-5030",
            "fax_number": "352-815-5031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "JORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME83696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "06740W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Active Living Store Inc.
• Advanced Chiropractic Rehabilitation and Wellness Center
• Advanced Surgery Center, Inc.
• Aiken Chiropractic Wellness Center, Inc.
• Heather Leigh Reid Alberico, PT
• Alina Transportation LLC
• Kidyan Z Alvarado
• Martha Alvarez, FNP-BC
• Prasad R Ancha, M.D.
• Amanda Ansbaugh, PA-C

• Internal Medicine Physician in Summerfield, FL
• Providers in Summerfield, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.