Individual provider Active NPI

Andres A Ayuso, MD

  • Obstetrics & Gynecology Physician
  • Middleburg, FL
National Provider Identifier
1104142173
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME121426 Issued in FL
Practice address
1658 St. Vincents Way
Suite 130
Middleburg, FL 32068
Phone
(904) 264-1628
Fax
(904) 264-8386
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME121426 FL Primary

Addresses

Primary practice location

1658 St. Vincents Way
Suite 130
Middleburg, FL 32068

Mailing address

1658 St. Vincents Way
Suite 130
Middleburg, FL 32068
Phone (904) 264-1628

Other practice location 1

1560 Kingsley Ave Ste 4
Orange Park, FL 32073-9200
Phone (904) 264-1628

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
I20141220000215 FL Practitioner - Obstetrics/Gynecology 8426371584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical University of South Carolina College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLC 607 clinicians

Practice addresses (Care Compare)

1560 Kingsley Ave
Suite 4
Orange Park, FL 32073-9200
Phone (904) 264-1628

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME121426FLMDObstetrics & Gynecology Physician

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Nov 1, 2014 Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

1747 Baptist Clay Dr
Ste 340
Fleming Island, FL 32003
Phone (904) 264-1628

1658 St Vincents Way
Ste 130
Middleburg, FL 32068
Phone (904) 264-1288

1560 Kingsley Ave
Ste 4
Orange Park, FL 32073
Phone (904) 264-1620

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: andres.ayuso.1@2183.direct.athenahealth.com

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1104142173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 ST. VINCENTS WAY",
            "address_2": "SUITE 130",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "32068",
            "telephone_number": "904-264-1628",
            "fax_number": "904-264-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 ST. VINCENTS WAY",
            "address_2": "SUITE 130",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "32068",
            "telephone_number": "904-264-1628",
            "fax_number": "904-264-8386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Kingsley Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320739200",
            "country_code": "US",
            "telephone_number": "904-264-1628",
            "fax_number": "904-264-8386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYUSO",
        "first_name": "ANDRES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME121426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.