Individual provider Active NPI

Jessie Te, MD

  • Internal Medicine Physician
  • Ocala, FL
National Provider Identifier
1154388932
Registry record updated Aug 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0079703 Issued in FL
Practice address
1800 SE 17TH Street
Suite 800
Ocala, FL 34471
Phone
(352) 622-7268
Fax
(352) 622-6045
NPI assigned
Apr 27, 2006
Last updated
Aug 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0079703 FL Primary

Addresses

Primary practice location

1800 SE 17TH Street
Suite 800
Ocala, FL 34471

Mailing address

1800 SE 17TH Street
Suite 800
Ocala, FL 34471
Phone (352) 622-7268

Other identifiers 1

IdentifierTypeStateIssuer
258991500MedicaidFL

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
I20101208000414 FL Practitioner - Internal Medicine 8224225875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Medical Associates IncGroup PAC ID 3072700624, 3 clinicians

Practice addresses (Care Compare)

1800 SE 17TH St
BLDG 800
Ocala, FL 34471-4178
Phone (352) 622-7268

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0079703FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Associates, Inc. Internal Medicine CurrentSince Jan 1, 2003 Accepting new patients

Locations

1800 SE 17th St
Ste 800
Ocala, FL 34471
Phone (352) 622-7268

10969 SE 175th Pl
Ste 200
Summerfield, FL 34491
Phone (352) 307-3804

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDCACA/Endpoint/DDCACA

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693008000000",
    "number": "1154388932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SE 17TH STREET",
            "address_2": "SUITE 800",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-622-7268",
            "fax_number": "352-622-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE 17TH STREET",
            "address_2": "SUITE 800",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-622-7268",
            "fax_number": "352-622-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TE",
        "first_name": "JESSIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-08-26",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0079703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258991500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.