Individual provider Active NPI

Jorge L Arango, MD

  • Ophthalmology Physician
  • Dothan, AL
National Provider Identifier
1295764983
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
00026786 Issued in AL
Practice address
160 Healthwest Dr
Dothan, AL 36303-1996
Phone
(334) 793-2211
Fax
(334) 793-7161
NPI assigned
Jul 3, 2006
Last updated
Feb 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 00026786 AL Primary

Addresses

Primary practice location

160 Healthwest Dr
Dothan, AL 36303-1996

Mailing address

160 Healthwest Dr
Dothan, AL 36303-1996
Phone (334) 712-1700

Other identifiers 1

IdentifierTypeStateIssuer
051556611MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050920000668 AL Practitioner - Ophthalmology 6608800636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates of Alabama IncGroup PAC ID 0941247274, 2 clinicians

Practice addresses (Care Compare)

160 Healthwest Dr
Dothan, AL 36303-1996
Phone (334) 712-1700

847 W Bypass
Suite D
Andalusia, AL 36420-4747
Phone (334) 712-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00026786ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates of Alabama, Inc Ophthalmology CurrentSince May 1, 2010 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
William M Davidson PC Past Accepting new patients

Locations

500 Westgate Plz
Andalusia, AL 36420
Phone (334) 222-8561

847 W Bypass
Ste D
Andalusia, AL 36420
Phone (334) 222-8561

160 Healthwest Dr
Dothan, AL 36303
Phone (334) 712-1700

Interoperability endpoints

  • Direct secure messaging: arango@raa.gwaydirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1295764983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031996",
            "telephone_number": "334-712-1700",
            "fax_number": "334-699-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031996",
            "telephone_number": "334-793-2211",
            "fax_number": "334-793-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANGO",
        "first_name": "JORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "00026786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051556611",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.