NPIMap

Individual provider Active NPI

Juan Carlos Yordan, M.D.

  • Family Medicine Physician
  • The Villages, FL
National Provider Identifier
1366410268
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME98478 Issued in FL
Practice address
1503 Buenos Aires Blvd
Suite 110
The Villages, FL 32159-6821
Phone
(352) 205-4302
NPI assigned
Mar 8, 2006
Last updated
May 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101234721 VA
Family Medicine Physician 207Q00000X ME98478 FL Primary
Family Medicine Physician 207Q00000X 12427 PR

Addresses

Primary practice location

1503 Buenos Aires Blvd
Suite 110
The Villages, FL 32159-6821

Mailing address

1503 Buenos Aires Blvd
Suite 110
The Villages, FL 32159-6821
Phone (352) 205-4302

Other identifiers 2

IdentifierTypeStateIssuer
02348OtherFLBCBS
278773300MedicaidFL

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
I20071015000218 FL Practitioner - Family Practice 8224097167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ponce School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Juan C Yordan MD PAGroup PAC ID 8527363431, 2 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 693-3378

11962 County Rd
The Villages, FL 32162-9336
Phone (352) 693-3378

2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378

929 N
27 Suite 601
Lady Lake, FL 32159-3002
Phone (352) 446-6210

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98478FLMDFamily Medicine Physician
12427PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Juan C Yordan MD PA CurrentSince Dec 1, 2015 Accepting new patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Sep 23, 2015 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Sep 23, 2015 Accepting new patients
Mental Health of Central Florida, LLC Past Accepting new patients
Primary Care Specialists of North Florida LLC Past Accepting new patients
CNS Holding Company LLC PastSince Jun 10, 2013 Accepting new patients

Locations

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAEBBD

Organizations & group practices 7

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 9

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1366410268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 BUENOS AIRES BLVD",
            "address_2": "SUITE 110",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596821",
            "telephone_number": "352-205-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 BUENOS AIRES BLVD",
            "address_2": "SUITE 110",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596821",
            "telephone_number": "352-205-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORDAN",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101234721",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME98478",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12427",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02348",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278773300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.