Individual provider Active NPI

Alfredo Jacome, M.D., P.A.

  • Neurology Physician
  • Summerfield, FL
National Provider Identifier
1316996168
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME0070292 Issued in FL
Practice address
16065 S US Highway 441 Ste 101
Summerfield, FL 34491-5982
Phone
(352) 861-5333
Fax
(352) 861-5334
NPI assigned
May 9, 2006
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME0070292 FL Primary

Addresses

Primary practice location

16065 S US Highway 441 Ste 101
Summerfield, FL 34491-5982

Mailing address

16065 S US Highway 441 Ste 101
Summerfield, FL 34491-5982
Phone (352) 861-5333

Other identifiers 1

IdentifierTypeStateIssuer
250011600MedicaidFL

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
I20040115000551 FL Practitioner - Neurology 5698676492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

16065 S US Hwy 441
Suite 101
Summerfield, FL 34491-5967

16065S US Hwy 441 101
Summerfield, FL 34491-5967
Phone (352) 861-5333

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

5036 SE 110TH St
Suite 103
Belleview, FL 34420-3759
Phone (352) 693-3378

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0070292FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alfredo Jacome MD PA CurrentSince Jul 24, 1996 Accepting new patients

Locations

2118 SW 20th Pl
Ste 202
Ocala, FL 34471
Phone (352) 236-0666

2121 SW 22nd Pl
Ocala, FL 34471
Phone (352) 237-4133

16065 S US Highway 441
#101
Summerfield, FL 34491
Phone (352) 861-5333

16065 S US Highway 441
Ste 101
Summerfield, FL 34491
Phone (352) 861-5333

Organizations & group practices 2

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 1

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1316996168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16065 S US HIGHWAY 441 STE 101",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344915982",
            "telephone_number": "352-861-5333",
            "fax_number": "352-861-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16065 S US HIGHWAY 441 STE 101",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344915982",
            "telephone_number": "352-861-5333",
            "fax_number": "352-861-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOME",
        "first_name": "ALFREDO",
        "name_prefix": "Dr.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0070292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250011600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

Verify at the official NPI Registry.