Jesus Lino Jimenez Barredo, MD

Key facts

NPI

1215062393

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

ME101359 (FL)

Practice address

2020 W 64TH St
Hialeah, FL 33016-2607

Phone

(305) 642-5366

Fax

(305) 631-3828

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

Yes

Organizations & group practices 5

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.

• Leon Medical Centers LLC Health Service Clinic/Center · Miami, FL · NPI 1376579839
  Medicare reassignment Care Compare group NPD FL
• Tenet Florida Physician Services LLC Surgery Physician · West Palm Beach, FL · NPI 1659417467
  NPD (past)
• Tenet Florida Physician Services, LLC Physical Therapist · West Palm Beach, FL · NPI 1699111211
  NPD (past)
• Cardio Neuro Medical Services Cardiovascular Specialist/Technologist · Santurce, PR · NPI 1194757435
  NPD (past)
• Medical Cardiovascular Service Inc Cardiovascular Specialist/Technologist · San Juan, PR · NPI 1881659548
  NPD (past)

Medicare Care Compare profile

Specialty

Family Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leon Medical Centers LLC (108 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 11, 2013.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1215062393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653313",
            "telephone_number": "305-642-5366",
            "fax_number": "305-631-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W 64TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162607",
            "telephone_number": "305-642-5366",
            "fax_number": "305-631-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ BARREDO",
        "first_name": "JESUS",
        "middle_name": "LINO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME101359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

• JHH Group Inc
• Jim Hammond Therapy
• Jim Hammond Therapy Inc
• Karin Ysella Jimenez Acosta
• Yailin Jimenez Acosta, RBT
• Nathalie Jimenez Betancourt, APRN
• Yanelis Jimenez Cabrera, RBT-23-308071
• Johan Mary Jimenez Casals, ARNP
• Maria Antonia Jimenez Davila
• Ania Jimenez Martin

All providers in Hialeah, FL · Family Medicine Physician in Florida