Active NPI
Virgilio R Huerta, M.D.
- Internal Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME119776
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013561200 | Medicaid | FL | |
| P01387566 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NM, AZ, OH, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME119776 | FL | MD | Internal Medicine Physician |
| MD2024-0229 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Florida VI LLC | Family Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Internal Medicine | Current | Accepting new patients |
| Tucson Physician Group Holdings, LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Richland County, LTD | Family Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| Sound Physicians of Wyoming, LLC | Family Medicine | Current | Accepting new patients |
| Baptist Primary Care Inc | Family Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Jacksonville, LLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Jacksonville, LLC | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Arizona PC | Internal Medicine | Current | Accepting new patients |
| Baptist Primary Care Inc | Family Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Family Medicine | Current | 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
- vhuerta724506@direct.shands.ufl.edu
- vhuerta1557256@direct.osumc.edu
- vhuerta251531@direct.phs.org
- 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.
-
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1417761073
Family Medicine
-
- Internal Medicine Physician
- Chillicothe, OH
- NPI 1861038069
Family Medicine
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
Family Medicine
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1508817529
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1124252333
Family Medicine
-
- Internal Medicine Physician
- Sierra Vista, AZ
- NPI 1568758266
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Family Medicine, NM
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Family Medicine
-
dba Carondelet Medical Group
- Interventional Cardiology Physician
- Tucson, AZ
- NPI 1356726939
Internal Medicine
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1013160704
-
- Internal Medicine Physician
- Port Orange, FL
- NPI 1861150625
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adena Regional Medical Center
- General Acute Care Hospital
- Chillicothe, OH
- NPI 1902839673
-
- General Acute Care Hospital
- Casper, WY
- NPI 1346332954
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.