Individual provider Active NPI

Jeffrey D Lingo, P.A.

  • Surgical Physician Assistant
  • Orlando, FL
National Provider Identifier
1386842375
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9104220 Issued in FL
Practice address
801 N Orange Ave
Suite 720
Orlando, FL 32801-1026
Phone
(407) 288-8638
Fax
(407) 288-8639
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PAT9104220 FL
Surgical Physician Assistant 363AS0400X PA9104220 FL Primary

Addresses

Primary practice location

801 N Orange Ave
Suite 720
Orlando, FL 32801-1026

Mailing address

801 N Orange Ave
Suite 720
Orlando, FL 32801-1026
Phone (407) 288-8638

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071107000265 FL Practitioner - Physician Assistant 8022105030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunaldo J. Villalobos, M.D., P.a.Group PAC ID 1254599517, 2 clinicians

Practice addresses (Care Compare)

720 W Oak St
Kissimmee, FL 34741-4989
Phone (407) 288-8638

801 N Orange Ave
Suite 720
Orlando, FL 32801-5202
Phone (407) 288-8638

Hospital & facility affiliations

  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
99.83 of 100Reported as group
Quality
96.2
Promoting interoperability
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAT9104220FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hunaldo J. Villalobos, M.D., P.a. CurrentSince Jan 23, 2012 Accepting new patients

Locations

720 W Oak St
Ste 111
Kissimmee, FL 34741
Phone (407) 288-8638

720 W Oak St
Kissimmee, FL 34741
Phone (321) 697-1736

801 N Orange Ave
Ste 720
Orlando, FL 32801
Phone (407) 288-8638

Interoperability endpoints

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

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 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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1386842375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N ORANGE AVE",
            "address_2": "SUITE 720",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011026",
            "telephone_number": "407-288-8638",
            "fax_number": "407-288-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N ORANGE AVE",
            "address_2": "SUITE 720",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011026",
            "telephone_number": "407-288-8638",
            "fax_number": "407-288-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGO",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PAT9104220",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9104220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.