Individual provider Active NPI

Tor Wentworth Jarrett, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1134617186
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME148624 Issued in FL
Practice address
12955 SW 132ND St BLDG 3B
Miami, FL 33186-7205
Phone
(305) 520-5750
NPI assigned
Apr 25, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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 ME148624 FL Primary

Addresses

Primary practice location

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

Mailing address

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

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 585-1111

Other identifiers 1

IdentifierTypeStateIssuer
ME148624OtherFLMEDICAL DOCTOR

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
I20210803001666 FL Practitioner - Family Practice 2163826884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 2018
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME148624FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primehealth Physicians LLC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Dr Wentworth Jarrett PA Family Medicine CurrentSince Jul 1, 2021 Accepting new patients

Locations

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

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

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1134617186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 SW 132ND STREET, BLDG. 3B",
            "address_2": "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 BLDG 3B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867205",
            "telephone_number": "305-520-5750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARRETT",
        "first_name": "TOR",
        "middle_name": "WENTWORTH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-25",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME148624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DOCTOR",
            "identifier": "ME148624",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.