Individual provider Active NPI

Jonathan P Axel, M.D.

  • Pulmonary Disease Physician
  • Brandon, FL
National Provider Identifier
1013082635
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0049689 Issued in FL
Practice address
631 W Lumsden Rd
Brandon, FL 33511-5911
Phone
(813) 413-9119
Fax
(813) 413-9122
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME0049689 FL Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X ME49689 FL

Addresses

Primary practice location

631 W Lumsden Rd
Brandon, FL 33511-5911

Mailing address

631 W Lumsden Rd
Brandon, FL 33511-5911
Phone (813) 413-9119

Other identifiers 1

IdentifierTypeStateIssuer
062532900MedicaidFL

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
I20081205000545 FL Practitioner - Pulmonary Disease 0345301529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Bay Pulmonary Medicine, PAGroup PAC ID 5991986887, 2 clinicians

Practice addresses (Care Compare)

402 Noland Dr
Brandon, FL 33511-5709
Phone (813) 655-2500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0049689FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Pulmonary Medicine, PA Pulmonary Disease CurrentSince Jun 1, 2014 Accepting new patients
Bay Area Pulmonary Associates, P.a. Pulmonary Disease Past Accepting new patients

Locations

402 Noland Dr
Brandon, FL 33511
Phone (813) 655-2500

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1013082635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115911",
            "telephone_number": "813-413-9119",
            "fax_number": "813-413-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115911",
            "telephone_number": "813-413-9119",
            "fax_number": "813-413-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXEL",
        "first_name": "JONATHAN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0049689",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME49689",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062532900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.