Edwin Dejesus, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

ME0063956 Issued in FL

Practice address

1707 N Mills Ave
Orlando, FL 32803-1851

Phone

(407) 647-3960

Fax

(407) 413-5775

NPI assigned

Jul 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edwindejesus@oicpa.allscriptsdirect.net
• Direct secure messaging: edwin.dejesus.1@33862.direct.athenahealth.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.

• Oic Inspired Inc

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1295535961
  Medicare reassignment NPD Authorized official
• Infectious Disease Consultants, M.D., P.a.

  • Infectious Disease Physician
  • Altamonte Springs, FL
  • NPI 1407873581
  Medicare reassignment NPD
• Orlando Immunology Center PA

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1467003772
  NPD Authorized official
• Oic Inspired Inc

  • Community/Retail Pharmacy
  • Orlando, FL
  • NPI 1295612364
  NPD

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1295734101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031851",
            "telephone_number": "407-647-3960",
            "fax_number": "407-413-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031851",
            "telephone_number": "407-647-3960",
            "fax_number": "407-413-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "EDWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0063956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250997100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernard Ryan Degnan, MD, MPH
• Lisa T Deguzman, RRT
• Ashley Dehaven
• Anna-Liisa Dehner
• Michael Gerard Deichen, M.D.
• Eufemia Dejesus, BSPH
• Leslie A. Dejesus
• Samuel Dejesus, MD
• Veronica Juanita Dejesus
• Yasmin Dejesus

• Infectious Disease Physician in Orlando, FL
• Providers in Orlando, 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 May 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.