Individual provider Active NPI

Carlos R. Tandron, M.D.

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1245234012
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME56140 Issued in FL
Practice address
1325 San Marco Blvd
Suite 200
Jacksonville, FL 32207-8559
Phone
(904) 346-3465
Fax
(904) 858-6489
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME56140 FL Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME56140 FL
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X ME56140 FL

Addresses

Primary practice location

1325 San Marco Blvd
Suite 200
Jacksonville, FL 32207-8559

Mailing address

PO Box 40767
Jacksonville, FL 32203-0767
Phone (904) 376-3707

Other identifiers 2

IdentifierTypeStateIssuer
200016297OtherFLRAILROAD MEDICARE
0617083-00MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joireferrals@joi.medalliesdirect.net Direct

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
I20060713000297 FL Practitioner - Orthopedic Surgery 3072526128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Emory University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Orthopaedic Institute IncGroup PAC ID 5193625499, 60 clinicians

Practice addresses (Care Compare)

1325 San Marco Blvd
Suite 200
Jacksonville, FL 32207-8566
Phone (904) 346-3465

Hospital & facility affiliations

  • Accentcare Home Health of Jacksonville Home health agency, Orange Park, FL, CCN 107725
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140
  • Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Improvement activities
40
Cost
74.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement33
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME56140FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Orthopaedic Institute Inc Orthopaedic Surgery CurrentSince Mar 19, 1997 Accepting new patients

Locations

2 Shircliff Way
Ste 300
Jacksonville, FL 32204
Phone (904) 308-7959

1325 San Marco Blvd
Ste 200
Jacksonville, FL 32207
Phone (904) 346-3465

7740 Point Meadows Dr
Ste 7
Jacksonville, FL 32256
Phone (904) 202-6400

1577 Roberts Dr
Ste 225226
Jacksonville Beach, FL 32250
Phone (904) 241-1204

Interoperability endpoints

  • Direct secure messaging: carlostandron@joi.medalliesdirect.net

Organizations & group practices 1

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 6

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1245234012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40767",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322030767",
            "telephone_number": "904-376-3707",
            "fax_number": "904-391-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SAN MARCO BLVD",
            "address_2": "SUITE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078559",
            "telephone_number": "904-346-3465",
            "fax_number": "904-858-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDRON",
        "first_name": "CARLOS",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME56140",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME56140",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "ME56140",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200016297",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0617083-00",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joireferrals@joi.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "Jacksonville Orthopaedic Institute",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HTML",
            "address_1": "1325 San Marco Blvd",
            "address_2": "Suite 200",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322078559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.