Individual provider Active NPI

Jose R. Lemus Siguence, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1033960976
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9119138 Issued in FL
Practice address
8950 N Kendall Dr Ste 504W
Miami, FL 33176-2127
Phone
(305) 274-2030
Fax
(786) 535-7053
NPI assigned
Mar 28, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9119138 FL Primary

Addresses

Primary practice location

8950 N Kendall Dr Ste 504W
Miami, FL 33176-2127

Mailing address

PO Box 198054
Atlanta, GA 30384-8054
Phone (786) 662-7980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241202003144 FL Practitioner - Physician Assistant 4183159080 Reassigns benefits to 2 organizations
I20241205000267 NC Practitioner - Physician Assistant 4183159080 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians

Practice addresses (Care Compare)

6200 Sunset Dr
Suite 604
South Miami, FL 33143-4831
Phone (786) 662-8928

6200 SW 72 St
Suite 602
South Miami, FL 33143-4831
Phone (786) 662-0600

6200 SW 72ND St Mci Benign Urology
Suite 601
South Miami, FL 33143-4831
Phone (786) 596-2000

6200 SW 73 St
South Miami, FL 33143-4679

8900 N Kendall Dr
Miami, FL 33176-2118

9555 SW 162ND Ave
West Kendall Baptist Hosp
Miami, FL 33196-6408
Phone (786) 467-2000

975 Baptist Way
Homestead, FL 33033-7600

Hospital & facility affiliations

  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • Homestead Hospital Hospital, Homestead, FL, CCN 100125
  • West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314
  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Mariners Hospital Hospital, Tavernier, FL, CCN 101313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9119138FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ballantyne Emergency Physicians PLLC CurrentSince Sep 24, 2024 Accepting new patients

Locations

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

11516 Providence Rd
Charlotte, NC 28277
Phone (704) 667-0370

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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 5

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": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1033960976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848054",
            "telephone_number": "786-662-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR STE 504W",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762127",
            "telephone_number": "305-274-2030",
            "fax_number": "786-535-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMUS SIGUENCE",
        "first_name": "JOSE",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.