Jaime Ibanez

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME145255 Issued in FL

Practice address

8375 Dix Ellis TRL Ste 201
Jacksonville, FL 32256-8241

Phone

(904) 236-5884

NPI assigned

Apr 11, 2018

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

Medicare fee-for-service enrollment

Enrolled in FL, AZ, ND, TX, AL5 enrollments

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 5

Specialty

Diagnostic Radiology

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford Clinic 57 clinicians

Sanford Clinic 268 clinicians

Concord Radiology PLLC 217 clinicians

River Region Family Medicine, LLC 56 clinicians

Physical Express 4 clinicians

ER Physician Group at Jackson Hospital 153 clinicians

Peterson Medical Associates 192 clinicians

Ivy Creek of Elmore LLC 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
• Research Medical Center Hospital, Kansas City, MO, CCN 260027
• Saint Thomas Rutherford Hospital Hospital, Murfreesboro, TN, CCN 440053
• Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007
• HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097

Merit-based Incentive Payment System (MIPS)

Final score

96.22 of 100Reported as group

Quality

95.56

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

89.18 of 100Reported as group

Quality

85.58

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (25 of 26)

Locations

Networks

• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: jibanez803692@direct.hopkinsmedicine.org

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.

• ER Physician Group at Jackson Hospital

  • General Practice Physician
  • Marianna, FL
  • NPI 1407801194

  FL

  Medicare reassignment Care Compare group NPD
• Concord Radiology PLLC

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1598260515

  Diagnostic Radiology, FL

  Medicare reassignment Care Compare group NPD
• Peterson Medical Associates

  • Obstetrics & Gynecology Physician
  • Kerrville, TX
  • NPI 1770800575

  Family Medicine, TX

  Medicare reassignment Care Compare group NPD
• Physical Express

  • Family Medicine Physician
  • Millbrook, AL
  • NPI 1043362734

  AL, Family Medicine

  Medicare reassignment Care Compare group NPD
• River Region Family Medicine, LLC

  • Family Medicine Physician
  • Wetumpka, AL
  • NPI 1578195525

  AL, Family Medicine

  Medicare reassignment Care Compare group NPD
• Sanford Clinic

  • Diagnostic Radiology Physician
  • Fargo, ND
  • NPI 1306641345

  Diagnostic Radiology, FL, ND

  Medicare reassignment Care Compare group NPD
• Ivy Creek of Elmore, LLC

  • Rural Health Clinic/Center
  • Tallassee, AL
  • NPI 1558868323

  AL

  Medicare reassignment Care Compare group
• Adi Radiology PC

  • Diagnostic Radiology Physician
  • Franklin, TN
  • NPI 1083266761

  Diagnostic Radiology, FL

  Medicare reassignment NPD
• Chilton Family Care, LLC

  • Family Medicine Physician
  • Clanton, AL
  • NPI 1366857674

  AL, Family Medicine

  Medicare reassignment NPD
• Coaxion PLLC

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1629805221

  Diagnostic Radiology, FL

  Medicare reassignment NPD
• Enterprise Urgent Care

  • Urgent Care Clinic/Center
  • Enterprise, AL
  • NPI 1285180729

  AL

  Medicare reassignment NPD
• Ivy Creek Family Care of Lake Martin

  • Urgent Care Clinic/Center
  • Dadeville, AL
  • NPI 1609572890

  AL, Family Medicine

  Medicare reassignment NPD

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

• Chca Bayshore LP

  • General Acute Care Hospital
  • Pasadena, TX
  • NPI 1174576698

  Hospital

  Care Compare affiliation
• Midwest Division - RMC, LLC

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1134187842

  Hospital

  Care Compare affiliation
• Saint Thomas Rutherford Hospital

  • General Acute Care Hospital
  • Murfreesboro, TN
  • NPI 1164590386

  Hospital

  Care Compare affiliation
• Saint Thomas West Hospital

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1629025648

  Hospital

  Care Compare affiliation
• Sid Peterson Memorial Hospital

  • Rural Acute Care Hospital
  • Kerrville, TX
  • NPI 1790782704

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1033616396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 DAVIS BLVD STE 308",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063438",
            "telephone_number": "813-250-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 DIX ELLIS TRL STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568241",
            "telephone_number": "904-236-5884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Davis Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063438",
            "country_code": "US",
            "telephone_number": "813-259-0661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324461917",
            "country_code": "US",
            "telephone_number": "850-526-2200",
            "fax_number": "850-718-2844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBANEZ",
        "first_name": "JAIME",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME145255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iah of Florida, LLC
• Brianna Iannarelli
• Amanda Rose Iannotti, LMHC
• Igor Ianov, MD
• George F Ibanez, LCSW
• Joselito Relayson Ibarreta, MD
• Kenneth Chukwukeluo Ibe
• Tochukwu Adaobi Ibe, DO
• Niya Ibeabuchi
• Ibeam Medical Florida, LLC

• All providers in Jacksonville, FL
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.