Active NPI
Raymond Manuel Pumarejo, M.D.
- Pulmonary Disease Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME 75751
- Practice address
- 425 N. Lee St, # 203
Jacksonville, FL 32204-1128 - Phone
- (904) 354-8200
- Fax
- (904) 354-1340
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME 75751 | FL | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME75751 | FL |
Addresses
Primary practice location
425 N. Lee St, # 203
Jacksonville, FL 32204-1128
Mailing address
425 North Lee Street, Suite 203
Jacksonville, FL 32204
Phone (904) 354-8200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2300 Park Ave
Suite 205
Orange Park, FL 32073-5573
Phone (904) 272-0384
Hospital & facility affiliations
- Ascension St Vincent'S Southside
- Ascension St Vincent'S Clay County
- Ascension St Vincent'S Riverside
- Ascension St Vincent'S St Johns County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 75751 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincents Ambulatory Care Inc | Pulmonary Disease | Current | Accepting new patients |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients |
Locations
425 N Lee St
Ste 203
Jacksonville, FL 32204
Phone (904) 354-8200
4203 Belfort Rd
Ste 108
Jacksonville, FL 32216
Phone (904) 450-6460
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
3 Shircliff Way
Ste 625
Jacksonville, FL 32204
Phone (904) 308-6900
2300 Park Ave
Ste 205
Orange Park, FL 32073
Phone (904) 272-0384
300 Saint Elizabeth Way
Ste 270
St Johns, FL 32259
Phone (904) 296-3103
Interoperability endpoints
- raymond.pumarejo.1@8967.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.
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1417987124
Pulmonary Disease
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1679226690
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
-
- General Acute Care Hospital
- St. Johns, FL
- NPI 1861078651
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1104806892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 NORTH LEE STREET, SUITE 203",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32204",
"telephone_number": "904-354-8200",
"fax_number": "904-354-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N. LEE ST, # 203",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322041128",
"telephone_number": "904-354-8200",
"fax_number": "904-354-1340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUMAREJO",
"first_name": "RAYMOND",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME 75751",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME75751",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.