Pablo Martin Pella, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

ME64398 Issued in FL

Practice address

6817 Southpoint Pkwy Ste 801
Jacksonville, FL 32216-6292

Phone

(904) 646-3420

Fax

(904) 646-3017

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

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 2

Specialty

Infectious DiseaseAlso: Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pablopellamdpa.pablopella@136838.advancedmd-direct.com

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.

• Pablo M Pella, M.D., P.a.

  • Specialist
  • Jacksonville, FL
  • NPI 1447447339
  Medicare reassignment NPD
• Skilled Nursing Infectious Disease LLC

  • Infectious Disease Physician
  • Jacksonville, FL
  • NPI 1679350722
  Medicare reassignment NPD
• University of Florida Jacksonville Physicians, Inc.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1144276452
  Medicare reassignment NPD
• Agape Health & Wellness Center Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1386223469
  Medicare reassignment
• Southeast Superior Health

  • Geriatric Medicine (Internal Medicine) Physician
  • Orange Park, FL
  • NPI 1326885500

  GA

  Medicare reassignment
• University of Florida Jacksonville Physicians, Inc.

  • Physiological Laboratory
  • Jacksonville, FL
  • NPI 1831800952
  NPD
• 904 Health, Inc

  • Infectious Disease Physician
  • Jacksonville, FL
  • NPI 1184305435
  NPD (past)

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

• Memorial Healthcare Group Inc

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1447206438
  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1245347004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8773 PERIMETER PARK CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161165",
            "telephone_number": "904-493-3390",
            "fax_number": "904-493-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 801",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166292",
            "telephone_number": "904-646-3420",
            "fax_number": "904-646-3017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4427 Emerson St Ste A",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322074969",
            "country_code": "US",
            "telephone_number": "904-900-1513",
            "fax_number": "904-453-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLA",
        "first_name": "PABLO",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME64398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250465100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - GROUP",
            "identifier": "K2410",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "219953",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "25066",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - GROUP",
            "identifier": "0111508-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE - GROUP",
            "identifier": "74509",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kassandra Pelaez
• Pelican Blue Home Health Inc.
• Deborah Lynn Pelkey, LMT
• Jessica Pelkowski, ARNP
• Lisa Phillips Pella, ARNP
• Fiorina Pellegrino, D.O.
• Michala Dawn Pelletier, CRNA
• Haydelin Pellicier Mendoza
• Katherine Pelts, M.D.
• Nikomi Lynne Peltz

• Infectious Disease Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.