Active NPI
Jose Andrade, M.D.
- Allergy Physician
- Orlando, FL
National Provider Identifier
1356330252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- ME0049328
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000213 | Other | FL | GHI |
| 9274 | Other | FL | AVMED |
| 201227 | Other | FL | AMERIGROUP |
| 378451700 | Medicaid | FL | |
| 18251 | Other | FL | HEALTHEASE |
| 142941 | Other | FL | ONE HEALTH PLAN |
| 47817071008 | Other | FL | CIGNA |
| 624969 | Other | FL | AETNA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0049328 | FL | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jose Andrade MD PA | Allergy | Current | Accepting new patients |
| Jose Andrade MD PA | Allergy | Current | 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.
-
- Allergy Physician
- Orlando, FL
- NPI 1295037208
-
- Allergy Physician
- Orlando, FL
- NPI 1386872042
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.