NPIMap

Individual provider Active NPI

Miguel M Limeres Jr., MD

  • Internal Medicine Physician
  • Palatka, FL
National Provider Identifier
1194717470
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME76533 Issued in FL
Practice address
530 Zeagler Dr
Suite 102
Palatka, FL 32177-6856
Phone
(386) 326-0223
Fax
(386) 326-0664
NPI assigned
Aug 22, 2005
Last updated
Mar 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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 ME76533 FL Primary

Addresses

Primary practice location

530 Zeagler Dr
Suite 102
Palatka, FL 32177-6856

Mailing address

530 Zeagler Dr
Suite 102
Palatka, FL 32177-6856
Phone (386) 326-0223

Other identifiers 4

IdentifierTypeStateIssuer
10714178OtherFLCIGNA
255727400MedicaidFL
44688OtherFLBCBS OF FL
110231697OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041104000238 FL Practitioner - Internal Medicine 9032171707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

530 Zeagle Dr
Suite 102
Palatka, FL 32177-6856
Phone (386) 326-0223

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME76533FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Limeres Medical Clinic PA CurrentSince Dec 1, 2001 Accepting new patients

Locations

530 Zeagler Dr
Ste 102
Palatka, FL 32177
Phone (386) 326-0223

Interoperability endpoints

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

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 8

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1194717470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 ZEAGLER DR",
            "address_2": "SUITE 102",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776856",
            "telephone_number": "386-326-0223",
            "fax_number": "386-326-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 ZEAGLER DR",
            "address_2": "SUITE 102",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776856",
            "telephone_number": "386-326-0223",
            "fax_number": "386-326-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMERES",
        "first_name": "MIGUEL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME76533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "10714178",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255727400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "44688",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110231697",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

Verify at the official NPI Registry.