Jose Pico, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME68578 Issued in FL

Practice address

1700 SE Hillmoor Dr
Port St Lucie, FL 34952-7539

Phone

(772) 398-7936

Fax

(772) 398-7970

NPI assigned

Apr 25, 2006

Last updated

Oct 1, 2018By the provider in NPPES

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

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

Family Practice

Education

University of California, Davis School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Public Health Trust of Miami Dade County FloridaGroup PAC ID 8628981925, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jose.pico@hca4.eclinicaldirectplus.com

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.

• Public Health Trust of Miami Dade County Florida

  dba Jackson Health Systems Jackson Memorial Hospita

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1225033020
  Medicare reassignment Care Compare group NPD
• Public Health Trust of Miami Dade County Florida

  dba Uhealth at Jackson Urgent Care Cutler Bay

  • Urgent Care Clinic/Center
  • Cutler Bay, FL
  • NPI 1225409683
  NPD
• Usc Family Medicine Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1316142516
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1336105683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527539",
            "telephone_number": "772-398-7936",
            "fax_number": "772-398-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527539",
            "telephone_number": "772-398-7936",
            "fax_number": "772-398-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICO",
        "first_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME68578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Immediate Care St Lucie West, LLC
• Physicians to Women II, LLC
• Marianne Elizabeth Piano, LMHC
• Francesco Piccione, DMD
• Adamarise Angel Grace Pickett
• Pierre Girard MD PA
• Rebecca R Pierre-Louis
• Eldya Pierre
• Mitsu Pierre
• Nously Pierre

• Family Medicine Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.