Individual provider Active NPI

Jose Andrade, M.D.

  • Allergy Physician
  • Orlando, FL
National Provider Identifier
1356330252
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
ME0049328 Issued in FL
Practice address
5412 Curry Ford Rd
Orlando, FL 32812-8522
Phone
(407) 658-7882
Fax
(407) 656-7995
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X ME0049328 FL Primary

Addresses

Primary practice location

5412 Curry Ford Rd
Orlando, FL 32812-8522

Mailing address

5412 Curry Ford Rd
Orlando, FL 32812-8522
Phone (407) 658-7882

Other identifiers 8

IdentifierTypeStateIssuer
2000213OtherFLGHI
9274OtherFLAVMED
201227OtherFLAMERIGROUP
378451700MedicaidFL
18251OtherFLHEALTHEASE
142941OtherFLONE HEALTH PLAN
47817071008OtherFLCIGNA
624969OtherFLAETNA

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
I20060220000289 FL Practitioner - Allergy/Immunology 3476568098 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0049328FLMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Andrade MD PA Allergy CurrentSince Nov 22, 1986 Accepting new patients
Jose Andrade MD PA Allergy CurrentSince Apr 30, 2003 Accepting new patients

Locations

322 W Oak St
Kissimmee, FL 34741
Phone (407) 658-7882

5412 Curry Ford Rd
Orlando, FL 32812
Phone (407) 658-7882

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1356330252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 CURRY FORD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328128522",
            "telephone_number": "407-658-7882",
            "fax_number": "407-656-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 CURRY FORD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328128522",
            "telephone_number": "407-658-7882",
            "fax_number": "407-656-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME0049328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2000213",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "9274",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "201227",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378451700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "18251",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH PLAN",
            "identifier": "142941",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "47817071008",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "624969",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.