Jaime Humberto Membreno, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

ME85244 Issued in FL

Practice address

100 Park Place Blvd
Ste#202
Kissimmee, FL 34741-2332

Phone

(407) 931-1510

Fax

(407) 931-3759

NPI assigned

Mar 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Ophthalmology

Education

Temple University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score

98.45 of 100Reported as individual

Quality

93.25

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Retina Macula Specialists PLLC

  • Ophthalmology Physician
  • Kissimmee, FL
  • NPI 1528112950
  Medicare reassignment NPD Authorized official
• Filutowski Eye Institute PA

  • Clinic/Center
  • Daytona Beach, FL
  • NPI 1306910385
  Medicare reassignment NPD
• Retina Macula Specialists PLLC

  • Specialist
  • Kissimmee, FL
  • NPI 1134304884
  NPD (past) Authorized official
• Filutowski Eye Institute PA

  • Clinic/Center
  • Orlando, FL
  • NPI 1134290356
  NPD
• Filutowski Eye Institute PA

  • Clinic/Center
  • Lake Mary, FL
  • NPI 1760557102
  NPD
• Florida Retina Consultants P.a.

  • Ophthalmology Physician
  • Lakeland, FL
  • NPI 1053392209
  NPD (past)
• Peter J Lowe, M.D. P.a.

  • Specialist
  • Lake Worth, FL
  • NPI 1871620385
  NPD (past)

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

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1255309704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK PLACE BLVD",
            "address_2": "STE#202",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412332",
            "telephone_number": "407-931-1510",
            "fax_number": "407-931-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK PLACE BLVD",
            "address_2": "STE#202",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412332",
            "telephone_number": "407-931-1510",
            "fax_number": "407-931-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMBRENO",
        "first_name": "JAIME",
        "middle_name": "HUMBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME85244",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME85244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Melgarejo-Couturier, DR.PH, M.A.
• Lyse Marie Mellon, LPN
• Mellow Jac
• Heidi S Melone, CRNA
• David Charles Melton
• Alicia Mena Torres
• Francis Menay, PHARM. D.
• Linda Maria Mendes, RPH
• Yamilette Mendez Caban, MD
• Cristina Jased Mendez Lugo, CRNA

• Retina Specialist (Ophthalmology) Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Retina Specialist (Ophthalmology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.