NPIMap

Individual provider Active NPI

Segismundo Pares, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Ocala, FL
National Provider Identifier
1053409144
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME49835 Issued in FL
Practice address
1651 SW 42ND St
Ocala, FL 34471-1364
Phone
(352) 873-3800
Fax
(352) 873-4800
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X ME49835 FL
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME49835 FL Primary

Addresses

Primary practice location

1651 SW 42ND St
Ocala, FL 34471-1364

Mailing address

PO Box 773176
Ocala, FL 34477-3176
Phone (352) 873-3800

Other identifiers 1

IdentifierTypeStateIssuer
061627300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080724000560 FL Practitioner - Geriatric MedicinePractitioner - Family PracticePractitioner - Hospice/Palliative Care 2163437385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Hospice/Palliative Care
Education
University of Colorado School of Medicine, Denver, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifeforce Healthcare, LLCGroup PAC ID 5092865568, 17 clinicians

Practice addresses (Care Compare)

1651 SW 42ND St
Ocala, FL 34471-1364
Phone (352) 873-3800

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Ocala, FL, CCN 107512
  • Hospice of Marion County Inc Hospice, Ocala, FL, CCN 101518
  • Arc Hospice of Florida LLC Hospice, Leesburg, FL, CCN 101575
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Bridgewater Park Health & Rehabilitation Center Nursing home, Ocala, FL, CCN 106115
  • Timberridge Nursing & Rehabilitation Center Nursing home, Ocala, FL, CCN 105717

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeforce Healthcare LLC CurrentSince Mar 4, 2017 Accepting new patients
Florida Health Care LLC PastSince Jan 15, 2023 Accepting new patients

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.

Hospital & facility affiliations 9

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1053409144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773176",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344773176",
            "telephone_number": "352-873-3800",
            "fax_number": "352-873-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 SW 42ND ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711364",
            "telephone_number": "352-873-3800",
            "fax_number": "352-873-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARES",
        "first_name": "SEGISMUNDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME49835",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME49835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061627300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.