Individual provider Active NPI

Virgilio R Huerta, M.D.

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1275774598
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME119776 Issued in FL
Practice address
820 Prudential Dr Ste 304
Credentialing Department
Jacksonville, FL 32207-8205
Phone
(904) 346-3649
Fax
(904) 348-5627
NPI assigned
Mar 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2024-0229 NM
Internal Medicine Physician 207R00000X ME119776 FL Primary

Addresses

Primary practice location

820 Prudential Dr Ste 304
Credentialing Department
Jacksonville, FL 32207-8205

Mailing address

PO Box 44004
Jacksonville, FL 32231-4004
Phone (904) 202-1032

Other identifiers 2

IdentifierTypeStateIssuer
013561200MedicaidFL
P01387566OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM, AZ, OH, WY5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20141030000244 FL Practitioner - HospitalistPractitioner - Internal Medicine 5294973533 Reassigns benefits to 3 organizations
I20240424000946 NM Practitioner - Internal Medicine 5294973533 Reassigns benefits to 2 organizations
I20240604004378 AZ Practitioner - Internal Medicine 5294973533 Reassigns benefits to 2 organizations
I20250702000628 OH Practitioner - Internal Medicine 5294973533 Reassigns benefits to 2 organizations
I20260311003537 WY Practitioner - Anesthesiology 5294973533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loma Linda University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians of Wyoming LLCGroup PAC ID 8325214828, 41 clinicians
Hospitalist Medicine Physicians of Richland County, LTDGroup PAC ID 4284538430, 54 clinicians
Sound Physicians of Florida VI LLCGroup PAC ID 1759802333, 141 clinicians

Practice addresses (Care Compare)

1233 E 2ND St
Casper, WY 82601-2926
Phone (800) 822-7201

1320 Mercy Dr NW
Canton, OH 44708-2614
Phone (330) 489-1000

272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-7500

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 771-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME119776FLMDInternal Medicine Physician
MD2024-0229NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Florida VI LLC Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Tucson Physician Group Holdings, LLC Internal Medicine CurrentSince Oct 10, 2024 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Family Medicine CurrentSince Nov 30, 2025 Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince May 1, 2025 Accepting new patients
Sound Physicians of Wyoming, LLC Family Medicine CurrentSince Jan 26, 2026 Accepting new patients
Baptist Primary Care Inc Family Medicine CurrentSince Nov 1, 2014 Accepting new patients
Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince May 13, 2024 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Family Medicine CurrentSince May 13, 2024 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince May 20, 2024 Accepting new patients
Baptist Primary Care Inc Family Medicine CurrentSince Nov 1, 2014 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Apr 20, 2024 Accepting new patients
Adena Health System Past Accepting new patients
Presbyterian Healthcare Services Internal Medicine Past Accepting new patients

Locations

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

820 Prudential Dr
Ste 304
Jacksonville, FL 32207
Phone (904) 202-3860

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

Interoperability endpoints

  • Direct secure messaging: vhuerta724506@direct.shands.ufl.edu
  • Direct secure messaging: vhuerta1557256@direct.osumc.edu
  • Direct secure messaging: vhuerta251531@direct.phs.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1275774598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44004",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314004",
            "telephone_number": "904-202-1032",
            "fax_number": "904-348-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR STE 304",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078205",
            "telephone_number": "904-346-3649",
            "fax_number": "904-348-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUERTA",
        "first_name": "VIRGILIO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-17",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2024-0229",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME119776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013561200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01387566",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.