NPIMap

Individual provider Active NPI

Marcelo Andres Jimenez, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Atlantis, FL
National Provider Identifier
1336332717
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME112292 Issued in FL
Practice address
180 JFK Dr
Suite 311
Atlantis, FL 33462-6607
Phone
(561) 434-0353
Fax
(561) 357-0869
NPI assigned
Aug 20, 2007
Last updated
Aug 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Clinical Cardiac Electrophysiology Physician 207RC0001X ME112292 FL Primary
Cardiovascular Disease Physician 207RC0000X ME112292 FL
Internal Medicine Physician 207R00000X ME112292 FL

Addresses

Primary practice location

180 JFK Dr
Suite 311
Atlantis, FL 33462-6607

Mailing address

180 JFK Dr
Suite 311
Atlantis, FL 33462-6607
Phone (561) 434-0353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120711000254 FL Practitioner - Cardiac Electrophysiology 3375607070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Electrophysiology Associates PAGroup PAC ID 1557559952, 14 clinicians

Practice addresses (Care Compare)

180 JFK Dr
Suite 311
Atlantis, FL 33462-6641
Phone (561) 434-0353

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME112292FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Electrophysiology Associates PA Clinical Cardiac Electrophysiology CurrentSince Aug 1, 2012 Accepting new patients

Locations

180 John F Kennedy Dr
Ste 311
Atlantis, FL 33462

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHGBDA
  • Direct secure messaging: mjimenez20102@jupitermedicalcenter.direct-ci.com

Organizations & group practices 1

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 5

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": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1336332717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 JFK DR",
            "address_2": "SUITE 311",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626607",
            "telephone_number": "561-434-0353",
            "fax_number": "561-357-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JFK DR",
            "address_2": "SUITE 311",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626607",
            "telephone_number": "561-434-0353",
            "fax_number": "561-357-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MARCELO",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME112292",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME112292",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME112292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.