Individual provider Active NPI

Manuel E Jimenez Rodriguez, MD

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1154550762
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME104034 Issued in FL
Practice address
6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone
(239) 348-4221
NPI assigned
Jul 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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 ME104034 FL Primary

Addresses

Primary practice location

6101 Pine Ridge Rd
Naples, FL 34119-3900

Mailing address

1099 Port Orange Way
Naples, FL 34120-2917
Phone (239) 776-8553

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address manuel.jimenez.rodriguez.1@4692.direct.athenahealth.com

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
I20091020000247 FL Practitioner - Internal Medicine 7315084670 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunbright Health Medical Centers IncGroup PAC ID 6507108537, 2 clinicians
Collier Hma Physician Management LLCGroup PAC ID 2769495167, 99 clinicians

Practice addresses (Care Compare)

15260 SW 280TH St
Suite 113
Homestead, FL 33032-8186
Phone (305) 998-7885

6101 Pine Ridge Rd
Naples, FL 34119-3900

8831 Founders Square Dr
Naples, FL 34120-0733
Phone (239) 348-4221

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Aveanna Home Health Home health agency, Sarasota, FL, CCN 108480
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
70.52 of 100Reported as group
Quality
52.2
Improvement activities
40
Cost
80.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Hma Physician Management LLC CurrentSince Jul 23, 2018 Accepting new patients
Collier Hma Physician Management LLC Internal Medicine CurrentSince Jul 23, 2018 Accepting new patients
Premier Inpatient Partners LLC Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Cape Coral Hospitalists Inc Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Elion Health Corp CurrentSince Jun 7, 2026 Accepting new patients
Advanced Hospitalists Group PA Internal Medicine PastSince Aug 1, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

15260 SW 280th St
Ste 113
Homestead, FL 33032
Phone (305) 998-7885

6101 Pine Ridge Rd
Ste 114
Naples, FL 34119

8831 Founders Square Dr
Naples, FL 34120
Phone (239) 920-4503

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

4525 Thomasson Dr
Ste 104
Naples, FL 34112
Phone (239) 365-6500

Interoperability endpoints

  • Direct secure messaging: manuel.jimenez.rodriguez.1@4692.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4

Organizations & group practices 8

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1154550762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 PORT ORANGE WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341202917",
            "telephone_number": "239-776-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-348-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ RODRIGUEZ",
        "first_name": "MANUEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME104034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manuel.jimenez.rodriguez.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "6101 Pine Ridge Rd",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341193900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.