Individual provider Active NPI

Jose J Echegaray, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Altamonte Springs, FL
National Provider Identifier
1205275229
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME136587 Issued in FL
Practice address
616 E Altamonte Dr Ste 101
Altamonte Springs, FL 32701-4811
Phone
(407) 637-2096
Fax
(407) 637-2097
NPI assigned
Jun 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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 ME136587 FL
Retina Specialist (Ophthalmology) Physician 207WX0107X ME136587 FL Primary

Addresses

Primary practice location

616 E Altamonte Dr Ste 101
Altamonte Springs, FL 32701-4811

Mailing address

1187 Tadsworth Ter
Lake Mary, FL 32746-5330

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjechegaray@retinaconsultantsorlando.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
I20190117001474 FL Practitioner - Ophthalmology 7911276803 Reassigns benefits to 1 organization
Practice locations: Altamonte Springs, FL

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ponce School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

616 E Altamonte Dr
Suite 101
Altamonte Springs, FL 32701-4811
Phone (407) 637-2096

Hospital & facility affiliations

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
ME136587FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants of Orlando, LLC Retina Specialist CurrentSince Jan 1, 2023 Accepting new patients
University of Miami Past Accepting new patients

Locations

616 E Altamonte Dr
Ste 101
Altamonte Springs, FL 32701
Phone (407) 637-2096

2340 Glenwood Dr
Winter Park, FL 32792
Phone (407) 800-2355

Interoperability endpoints

  • Direct secure messaging: jje@retinaorlando.emadirect.md

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1205275229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 TADSWORTH TER",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E ALTAMONTE DR STE 101",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014811",
            "telephone_number": "407-637-2096",
            "fax_number": "407-637-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEGARAY",
        "first_name": "JOSE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME136587",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME136587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjechegaray@retinaconsultantsorlando.com",
            "affiliation": "N",
            "address_1": "616 E Altamonte Dr Ste 101",
            "city": "Altamonte Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327014811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.