Individual provider Active NPI

Jan N Arango, MD

  • Pediatrics Physician
  • Sunrise, FL
National Provider Identifier
1336137579
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME59463 Issued in FL
Practice address
1301 Concord Ter
Sunrise, FL 33323-2843
Phone
(800) 243-3839
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME59463 FL
Pediatrics Physician 208000000X ME59463 FL Primary

Addresses

Primary practice location

1301 Concord Ter
Sunrise, FL 33323-2843

Mailing address

1052 Commodore St
Clearwater, FL 33755-1000
Phone (727) 480-4865

Other practice location 1

405 Pasadena Ave S
St Petersburg, FL 33707
Phone (727) 345-2212

Other practice location 2

431 Southwest Blvd N
St Petersburg, FL 33703
Phone (727) 526-7337

Other identifiers 1

IdentifierTypeStateIssuer
370266900MedicaidFL

Other names 1

  • Jan Nicoletto Former name

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
I20240813003872 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5193080810

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Lori McAuliffe, M.D., P.a. Pediatrics Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1336137579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 COMMODORE ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337551000",
            "telephone_number": "727-480-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "800-243-3839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Pasadena Ave S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "33707",
            "country_code": "US",
            "telephone_number": "727-345-2212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "431 Southwest Blvd N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "33703",
            "country_code": "US",
            "telephone_number": "727-526-7337",
            "fax_number": "727-528-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARANGO",
        "first_name": "JAN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME59463",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME59463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370266900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "NICOLETTO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.