Individual provider Active NPI

Jorge Fortun, MD

  • Ophthalmology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1184736464
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME107110 Issued in FL
Practice address
7101 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone
(561) 515-1500
Fax
(561) 515-1513
NPI assigned
Aug 31, 2006
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X BP20023396 TX
Ophthalmology Physician 207W00000X ME107110 FL Primary

Addresses

Primary practice location

7101 Fairway Dr
Palm Beach Gardens, FL 33418-3701

Mailing address

7101 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone (561) 515-1500

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
I20100927000058 FL Practitioner - Ophthalmology 3870667645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1801 NW 9TH Ave 5TH FL
Miami, FL 33136-1125

1801 NW 9TH Ave 5TH FLR
Miami, FL 33136-1125

4800 NE 20TH Ter
Fort Lauderdale, FL 33308-4510

4800 NE 20TH Terrace
201 Uhealth Cardiology at Ft Lauderdale
Fort Lauderdale, FL 33308-4510
Phone (305) 243-3440

7101 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone (305) 585-6857

7103 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone (305) 585-6970

7103 Fairway Dr - Ambulatory Surgical
Bascom Palmer Eye Institute of the Palm Bea
Palm Beach Gardens, FL 33418-3701
Phone (305) 689-1332

7103 Fairway Dr ASC
Bascom Palmer Eye Institute of the Palm Bea
Palm Beach Gardens, FL 33418-3701
Phone (305) 689-6725

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME107110FLMDOphthalmology Physician
BP20023396TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
University of Miami Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

900 NW 17th St
Miami, FL 33136
Phone (305) 243-6605

900 NW 17th St
Fl 5
Miami, FL 33136
Phone (561) 515-1500

7101 Fairway Dr
West Palm Beach, FL 33418
Phone (561) 515-1500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jfortun10853@direct.med.miami.edu

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1184736464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 FAIRWAY DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183701",
            "telephone_number": "561-515-1500",
            "fax_number": "561-515-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 FAIRWAY DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183701",
            "telephone_number": "561-515-1500",
            "fax_number": "561-515-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUN",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "BP20023396",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME107110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.