Individual provider Active NPI

Jesus Ornelas, M.D

  • Pediatric Adolescent Medicine Physician
  • Palmetto Bay, FL
National Provider Identifier
1376877787
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
ME118252 Issued in FL
Practice address
8620 SW 146TH St
Palmetto Bay, FL 33158
Phone
(305) 395-9589
NPI assigned
Oct 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X ME118252 FL Primary
Pediatric Adolescent Medicine Physician 2080A0000X 25MA09102700 NJ

Addresses

Primary practice location

8620 SW 146TH St
Palmetto Bay, FL 33158

Mailing address

8620 SW 146TH St
Palmetto Bay, FL 33158-1443
Phone (305) 395-9589

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
I20140922000797 FL Practitioner - Pediatric Medicine 1951566280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

99198 Overseas Hwy
Suite 2
Key Largo, FL 33037-2437
Phone (305) 432-7011

Hospital & facility affiliations

  • Mariners Hospital Hospital, Tavernier, FL, CCN 101313

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
A1 Urgent Care Family and Pediatric Center CurrentSince Aug 2, 2023 Accepting new patients
FL-I Medical Services, LLC Past Accepting new patients

Locations

99198 Overseas Hwy
Ste 2
Key Largo, FL 33037
Phone (305) 432-7011

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.

Hospital & facility affiliations 1

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": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1376877787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 SW 146TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331581443",
            "telephone_number": "305-395-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 SW 146TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "33158",
            "telephone_number": "305-395-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNELAS",
        "first_name": "JESUS",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME118252",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA09102700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.