Jose Perez Gonzalez De Apodaca, M.D./PH.D

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME121607 Issued in FL

Practice address

403 Vonderburg Dr
Brandon, FL 33511-5501

Phone

(813) 681-1122

Fax

(813) 684-4924

NPI assigned

Apr 24, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jose Perez Gonzalez de Apodaca Other name

Electronic endpoints 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

Specialty

Ophthalmology

Education

Albert Einstein College of Medicine of Yeshiva University, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gregory L Henderson MD Facs IncGroup PAC ID 9739172321, 31 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.32 of 100Reported as group

Quality

96.85

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: jdeapodaca@floridaeye.intellechartdirect.net

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.

• Gregory L Henderson MD Facs Inc

  dba Florida Eye Specialists and Cataract Institute

  • Ophthalmology Physician
  • Brandon, FL
  • NPI 1306839725
  Medicare reassignment Care Compare group NPD
• Gregory L Henderson MD Facs Inc

  • Optometrist
  • Ruskin, FL
  • NPI 1306830799

  Ophthalmology

  NPD
• Gregory L Henderson MD Facs Inc

  • Ophthalmology Physician
  • Tampa, FL
  • NPI 1952139347
  NPD
• Gregory L Henderson MD Facs Inc

  • Ophthalmology Physician
  • Brandon, FL
  • NPI 1144214552
  NPD (past)
• Gregory L Henderson MD Facs Inc

  • Ophthalmology Physician
  • Sun City Center, FL
  • NPI 1821082249
  NPD (past)
• Associates in Ophthalmology LTD

  • Ophthalmology Physician
  • West Mifflin, PA
  • NPI 1639175045
  NPD (past)

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1326282013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115501",
            "telephone_number": "813-681-1122",
            "fax_number": "813-684-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115501",
            "telephone_number": "813-681-1122",
            "fax_number": "813-684-4924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Buckingham Pl Ste 102",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335114910",
            "country_code": "US",
            "telephone_number": "813-653-2020",
            "fax_number": "813-653-2205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 13th St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "PA",
            "postal_code": "163231335",
            "country_code": "US",
            "telephone_number": "814-437-2444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3115 W Swann Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336094617",
            "country_code": "US",
            "telephone_number": "813-492-2020",
            "fax_number": "813-492-2099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Rickenbacker Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335735363",
            "country_code": "US",
            "telephone_number": "813-634-8877",
            "fax_number": "813-634-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE APODACA",
        "first_name": "JOSE",
        "middle_name": "PEREZ GONZALEZ",
        "credential": "M.D./PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-24",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD436842",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME121607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdeapodaca@floridaeye.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Gregory L Henderson MD FACS INC",
            "address_1": "403 Vonderburg Dr",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "PEREZ GONZALEZ DE APODACA",
            "credential": "M.D./PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ophthalmology Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.