Individual provider Active NPI

Lijo Jose, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1346746682
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME153586 Issued in FL
Practice address
11535 N Kendall Dr
Miami, FL 33176-1002
Phone
(786) 595-8000
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME153586 FL Primary

Addresses

Primary practice location

11535 N Kendall Dr
Miami, FL 33176-1002

Mailing address

235 S Dixie Hwy Apt 1205
Coral Gables, FL 33133-4879

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LIJ09132@cerner.directbaptisthealth.com

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
I20211206000403 FL Practitioner - Family Practice 9335486430 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Miami Inpatient PhysiciansGroup PAC ID 2567429483, 88 clinicians

Practice addresses (Care Compare)

6200 SW 73Rd St
Box 69
Miami, FL 33143-4679
Phone (786) 662-4000

9500 NW 58TH St
Doral, FL 33178-4732
Phone (786) 595-3900

Hospital & facility affiliations

  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Inpatient Physicians CurrentSince Sep 15, 2022 Accepting new patients
QMC LLC CurrentSince Jun 11, 2022 Accepting new patients
First Docs PC CurrentSince Jul 1, 2024 Accepting new patients
National Health Rehabilitation LLC Past Accepting new patients

Locations

9500 NW 58th St
Doral, FL 33178
Phone (786) 595-3600

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

6200 SW 73rd St
#69
South Miami, FL 33143
Phone (786) 662-4000

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

Interoperability endpoints

  • Direct secure messaging: lij09132@cerner.directbaptisthealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1346746682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S DIXIE HWY APT 1205",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331334879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11535 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761002",
            "telephone_number": "786-595-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "LIJO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME153586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LIJ09132@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "11535 N Kendall Dr",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331761002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.