Individual provider Active NPI

Wentworth Grantley Jarrett, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1104836972
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME48820 Issued in FL
Practice address
12955 SW 132ND St
BLDG 3B Suite 104
Miami, FL 33186-7205
Phone
(305) 520-5750
Fax
(305) 520-5754
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME48820 FL Primary

Addresses

Primary practice location

12955 SW 132ND St
BLDG 3B Suite 104
Miami, FL 33186-7205

Mailing address

12955 SW 132ND St
BLDG 3B Suite 104
Miami, FL 33186-7205
Phone (305) 520-5750

Other identifiers 1

IdentifierTypeStateIssuer
046128800MedicaidFL

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
I20080517000036 FL Practitioner - Family Practice 2668541616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Wentworth Jarrett PAGroup PAC ID 9830260249, 2 clinicians

Practice addresses (Care Compare)

12955 SW 132ND Street BLDG
3B Suite 104
Miami, FL 33186-7205
Phone (305) 520-5750

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • South Miami Hospital Hospital, Miami, FL, CCN 100154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME48820FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Value Healthcare Partners CurrentSince Dec 1, 2024 Accepting new patients
Dr Wentworth Jarrett PA Family Medicine CurrentSince Sep 9, 2002 Accepting new patients

Locations

14680 SW 8th St
Ste 211
Miami, FL 33184
Phone (305) 253-4340

12955 SW 132nd St
Bldg 3B
Miami, FL 33186
Phone (305) 253-4340

23025 SW 120th Ave
Miami, FL 33170
Phone (305) 256-3500

12955 SW 132nd St
Ste 104
Miami, FL 33186
Phone (305) 253-4340

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACHCCD/Endpoint/ACHCCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACHCCD
  • Direct secure messaging: wentworth.jarrett@dwj.eclinicaldirectplus.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.

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1104836972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 SW 132ND ST",
            "address_2": "BLDG 3B SUITE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867205",
            "telephone_number": "305-520-5750",
            "fax_number": "305-520-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 SW 132ND ST",
            "address_2": "BLDG 3B SUITE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867205",
            "telephone_number": "305-520-5750",
            "fax_number": "305-520-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRETT",
        "first_name": "WENTWORTH",
        "middle_name": "GRANTLEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME48820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046128800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.