NPIMap

Individual provider Active NPI

Jose Manuel Garmendia, MD

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1235173139
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME53646 Issued in FL
Practice address
2636 Oak St
Jacksonville, FL 32204-4056
Phone
(904) 384-5553
Fax
(904) 384-2173
NPI assigned
Jun 15, 2006
Last updated
Aug 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME53646 FL Primary

Addresses

Primary practice location

2636 Oak St
Jacksonville, FL 32204-4056

Mailing address

2636 Oak St
Jacksonville, FL 32204-4056
Phone (904) 384-5553

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
I20110817000296 FL Practitioner - Internal Medicine 7719156314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2636 Oak St
Jacksonville, FL 32204-4506
Phone (904) 384-5553

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME53646FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Interpreters Inc CurrentSince Feb 2, 2014 Accepting new patients
JM Garmendia MD PA Internal Medicine CurrentSince Apr 2, 2011 Accepting new patients

Locations

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

2636 Oak St
Jacksonville, FL 32204
Phone (904) 384-5553

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1235173139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 OAK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044056",
            "telephone_number": "904-384-5553",
            "fax_number": "904-384-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 OAK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044056",
            "telephone_number": "904-384-5553",
            "fax_number": "904-384-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARMENDIA",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME53646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.