Individual provider Active NPI

Jorge Ivan Zeledon, MD

  • Nephrology Physician
  • Sebring, FL
National Provider Identifier
1265571293
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME103963 Issued in FL
Practice address
6801 N Highway 27 Ste C3
Sebring, FL 33870-1000
Phone
(863) 314-0880
Fax
(863) 837-4475
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X ME103963 FL Primary

Addresses

Primary practice location

6801 N Highway 27 Ste C3
Sebring, FL 33870-1000

Mailing address

6801 N Highway 27 Ste C3
Sebring, FL 33870-1000
Phone (863) 314-0880

Other identifiers 1

IdentifierTypeStateIssuer
145AXOtherFLBCBS

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
I20110616000174 FL Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Neurology 4385821560

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4215 Sun N Lake Blvd
Sebring, FL 33872-2158

Hospital & facility affiliations

National Provider Directory

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

Hospital & facility affiliations 3

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1265571293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 N HIGHWAY 27 STE C3",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701000",
            "telephone_number": "863-314-0880",
            "fax_number": "863-837-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 N HIGHWAY 27 STE C3",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701000",
            "telephone_number": "863-314-0880",
            "fax_number": "863-837-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELEDON",
        "first_name": "JORGE",
        "middle_name": "IVAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME103963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "145AX",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.