Active NPI
Jonatan De Jesus Valdez Diaz, M.D.
- Internal Medicine Physician
- Middleburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME109787
- Practice address
- 1670 St Vincents Way
Middleburg, FL 32068-8447 - Phone
- (904) 308-3960
- Fax
- (888) 730-1925
- NPI assigned
- Feb 2, 2006
- Last updated
- Dec 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 47902-020 | WI | |
| Internal Medicine Physician | 207R00000X | 4301085180 | MI | |
| Internal Medicine Physician | 207R00000X | ME109787 | FL | Primary |
Addresses
Primary practice location
1670 St Vincents Way
Middleburg, FL 32068-8447
Mailing address
1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone (352) 536-8840
Other practice location 1
1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone (352) 536-8840
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1920 Don Wickham Dr
Clermont, FL 34711-1918
Phone (407) 351-5384
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME109787 | FL | MD | Internal Medicine Physician |
| 4301085180 | MI | MD | Internal Medicine Physician |
| 47902-020 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Hni Medical Services of Florida, LLC | Internal Medicine | Current | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761
1920 Don Wickham Dr
Clermont, FL 34711
Phone (352) 243-5891
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561
1670 St Vincents Way
Middleburg, FL 32068
Phone (904) 308-1219
10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jvaldezdiaz26217@orlandohealth.medalliesdirect.net
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Health Central
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
dba Express Care
- Urgent Care Clinic/Center
- Ocoee, FL
- NPI 1780022616
Hospital
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
dba Orlando Health Rehab Institute
- Rehabilitation Hospital Unit
- Ocoee, FL
- NPI 1801503313
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1336111533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 DON WICKHAM DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111979",
"telephone_number": "352-536-8840",
"fax_number": "352-536-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 ST VINCENTS WAY",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320688447",
"telephone_number": "904-308-3960",
"fax_number": "888-730-1925"
}
],
"practiceLocations": [
{
"address_1": "1900 Don Wickham Dr",
"address_purpose": "LOCATION",
"city": "Clermont",
"state": "FL",
"postal_code": "347111979",
"country_code": "US",
"telephone_number": "352-536-8840",
"fax_number": "352-536-8840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALDEZ DIAZ",
"first_name": "JONATAN",
"middle_name": "DE JESUS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "47902-020",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301085180",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME109787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middleburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.