NPIMap

Individual provider Active NPI

Jorge Luis Ajuria, M.D.

  • Nephrology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1194820944
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME87901 Issued in FL
Practice address
4800 NE 20TH Ter Ste 211
Fort Lauderdale, FL 33308-4510
Phone
(954) 932-4221
Fax
(754) 200-0878
NPI assigned
Sep 14, 2006
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME87901 FL Primary

Addresses

Primary practice location

4800 NE 20TH Ter Ste 211
Fort Lauderdale, FL 33308-4510

Mailing address

4800 NE 20TH Ter Ste 211
Fort Lauderdale, FL 33308-4510
Phone (954) 932-4221

Other identifiers 1

IdentifierTypeStateIssuer
268017300MedicaidFL

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
I20041005001025 FL Practitioner - NephrologyPractitioner - Internal Medicine 7113986258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Kidney Partners LLPGroup PAC ID 7012981350, 63 clinicians

Practice addresses (Care Compare)

4800 NE 20TH Ter
Suite 211
Fort Lauderdale, FL 33308-4510
Phone (727) 266-1403

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87901FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Kidney Partners, LLP Nephrology CurrentSince Aug 14, 2021 Accepting new patients

Locations

2001 NE 48th Ct
Ste 4
Ft Lauderdale, FL 33308
Phone (954) 771-3929

2001 NE 48th Ct
Ste 45
Ft Lauderdale, FL 33308

4800 NE 20th Ter
Ste 211
Ft Lauderdale, FL 33308
Phone (727) 863-5418

14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418

300 NW 70th Ave
Ste 302
Plantation, FL 33317
Phone (954) 673-1525

7500 NW 5th St
Ste 111
Plantation, FL 33317
Phone (727) 266-1403

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jajuria2022491@direct.trinity-health.org
  • Direct secure messaging: jajuria80982@direct.acumenmd.com
  • Direct secure messaging: jorge.ajuria.1@16705.direct.athenahealth.com

Organizations & group practices 2

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 10

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1194820944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER STE 211",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084510",
            "telephone_number": "954-932-4221",
            "fax_number": "754-200-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER STE 211",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084510",
            "telephone_number": "954-932-4221",
            "fax_number": "754-200-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJURIA",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME87901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268017300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.