Individual provider Active NPI

Jones Cemelus, M.D

  • General Practice Physician
  • Plantation, FL
National Provider Identifier
1154782043
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN954 Issued in FL
Practice address
4302 W Broward Blvd
Plantation, FL 33317-3780
Phone
(954) 644-8902
NPI assigned
Mar 18, 2016
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN954 FL Primary
General Practice Physician 208D00000X 19301 PR

Addresses

Primary practice location

4302 W Broward Blvd
Plantation, FL 33317-3780

Mailing address

1000 NW 57TH CT Ste 400
Miami, FL 33126-3292

Other identifiers 2

IdentifierTypeStateIssuer
0-770-148-5OtherECFMG
19301OtherPRPHYSICIAN LICENSE NUMBER

Other names 1

  • N/a N/a N/a Other name

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
I20171103000159 FL Practitioner - General Practice 5294091476 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN954FLMDGeneral Practice Physician
19301PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interamerican Medical Center Group LLC Current Accepting new patients
Alto Health LLC CurrentSince Jul 9, 2025 Accepting new patients
Interamerican Medical Center Group LLC CurrentSince Nov 1, 2024 Accepting new patients
Caremax Medical Center of Broward LLC CurrentSince Jul 1, 2023 Accepting new patients
Caremax Medical Center of Broward LLC CurrentSince Jul 1, 2023 Accepting new patients
Interamerican Medical Center Group LLC CurrentSince Nov 1, 2024 Accepting new patients
Claremedica Viking LLC CurrentSince Feb 3, 2025 Accepting new patients
Alto Health Broward LLC CurrentSince Jul 1, 2025 Accepting new patients
Idelis Fedeslinda Arias de la Torre General Practice PastSince Jun 1, 2021 Accepting new patients
Orlando Family Physicians, LLC General Practice PastSince Jan 5, 2025 Accepting new patients

Locations

3880 W Broward Blvd
#B4B7
Fort Lauderdale, FL 33312
Phone (954) 644-8902

1000 NW 57th Ct
Ste 400
Miami, FL 33126

15105 NW 77th Ave
Fl 4
Miami Lakes, FL 33014
Phone (305) 455-2737

501 NW 103rd Ave
Pembroke Pines, FL 33026
Phone (954) 251-1497

4302 W Broward Blvd
Plantation, FL 33317
Phone (954) 644-8902

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFEIDD/Endpoint/FFEIDD
  • Direct secure messaging: jones.cemelus.p1@direct.caremax.nextgenshare.com

Organizations & group practices 10

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": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1154782043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 57TH CT STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173780",
            "telephone_number": "954-644-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEMELUS",
        "first_name": "JONES",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-18",
        "last_updated": "2024-07-03",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN954",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19301",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "0-770-148-5",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE NUMBER",
            "identifier": "19301",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.