Individual provider Active NPI

Alejandro Jordan Villegas, M.D.

  • Pediatric Infectious Diseases Physician
  • Orlando, FL
National Provider Identifier
1215100425
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
ME101267 Issued in FL
Practice address
60 W Gore Street
Orlando, FL 32806-1101
Phone
(407) 481-7360
Fax
(407) 481-7361
NPI assigned
Apr 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X ME101267 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

60 W Gore Street
Orlando, FL 32806-1101

Mailing address

60 W Gore Street
Orlando, FL 32806-1101
Phone (407) 481-7360

Other identifiers 2

IdentifierTypeStateIssuer
ME101267OtherFLMEDICAL LICENSE
003502400MedicaidFL

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
I20110901000690 FL Practitioner - Infectious DiseasePractitioner - Pediatric Medicine 9537339445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Pediatric Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

83 Columbia St
Orlando, FL 32806-1106
Phone (321) 841-6350

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2011 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2011 Accepting new patients

Locations

790 Concourse Pkwy S
Ste 120
Maitland, FL 32751
Phone (407) 649-6907

2290 W Eau Gallie Blvd
Ste 205A
Melbourne, FL 32935
Phone (321) 255-2665

60 W Gore St
Orlando, FL 32806
Phone (321) 841-3338

83 Columbia St
Orlando, FL 32806
Phone (321) 843-3220

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Interoperability endpoints

  • Direct secure messaging: ajordanvillegas25809@orlandohealth.medalliesdirect.net

Organizations & group practices 3

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": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1215100425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W GORE STREET",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061101",
            "telephone_number": "407-481-7360",
            "fax_number": "407-481-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W GORE STREET",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061101",
            "telephone_number": "407-481-7360",
            "fax_number": "407-481-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN VILLEGAS",
        "first_name": "ALEJANDRO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "FL",
            "license": "ME101267",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME101267",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003502400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.