Individual provider Active NPI

Carlos Antonio Arango, M.D.

  • Pediatrics Physician
  • Jacksonville, FL
National Provider Identifier
1205802410
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME71717 Issued in FL
Practice address
8274 Bayberry Rd
Ufjp Baymeadows Pediatrics
Jacksonville, FL 32256-7470
Phone
(904) 633-0800
Fax
(904) 633-0381
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME71717 FL Primary
Pediatric Infectious Diseases Physician 2080P0208X ME71717 FL

Addresses

Primary practice location

8274 Bayberry Rd
Ufjp Baymeadows Pediatrics
Jacksonville, FL 32256-7470

Mailing address

PO Box 44008
Ufjp Provider Enrollment
Jacksonville, FL 32231-4008

Other identifiers 2

IdentifierTypeStateIssuer
2642026-00MedicaidFL
000947361AMedicaidGA

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
I20040628000335 FL Practitioner - Pediatric MedicinePractitioner - Family Practice 2961488242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, shared by 5 NPIs, 908 clinicians

Practice addresses (Care Compare)

8274 Bayberry Rd
Jacksonville, FL 32256-7470
Phone (904) 633-0800

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 26, 2010 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. Pediatrics CurrentSince Sep 26, 2010 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Sep 9, 2014 Accepting new patients

Locations

8399 Bayberry Rd
#A
Jacksonville, FL 32256

8274 Bayberry Rd
Jacksonville, FL 32256
Phone (904) 633-0800

8399 Bayberry Rd
Jacksonville, FL 32256
Phone (904) 260-4977

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

Interoperability endpoints

  • Direct secure messaging: carango59261@direct.shands.ufl.edu

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1205802410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44008",
            "address_2": "UFJP PROVIDER ENROLLMENT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8274 BAYBERRY RD",
            "address_2": "UFJP BAYMEADOWS PEDIATRICS",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567470",
            "telephone_number": "904-633-0800",
            "fax_number": "904-633-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANGO",
        "first_name": "CARLOS",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME71717",
            "primary": true
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "FL",
            "license": "ME71717",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2642026-00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000947361A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.