Individual provider Active NPI

Juan Felix Ronderos, M.D.

  • Neurological Surgery Physician
  • Fairhope, AL
National Provider Identifier
1407875016
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
12906 Issued in AL
Practice address
8096 Twin Beech Rd Ste 250
Fairhope, AL 36532-7194
Phone
(251) 279-6520
Fax
(251) 279-6523
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 04-48215 KS
Neurological Surgery Physician 207T00000X 12906 AL Primary

Addresses

Primary practice location

8096 Twin Beech Rd Ste 250
Fairhope, AL 36532-7194

Mailing address

8096 Twin Beech Rd Ste 250
Fairhope, AL 36532-7194
Phone (251) 279-6520

Other practice location 1

3 Mobile Infirmary Cir Ste 410
Mobile, AL 36607-3512
Phone (251) 435-6850

Other practice location 2

1518 N McKenzie St Ste 400
Foley, AL 36535-2276
Phone (251) 424-1130

Other practice location 3

1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

Other practice location 4

2660 SW 3rd St
Topeka, KS 66606-2442
Phone (785) 354-9591

Other identifiers 2

IdentifierTypeStateIssuer
51527898OtherALBC
009993025MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050520000887 AL Practitioner - Neurosurgery 8628019437 Reassigns benefits to 2 organizations
I20150408002257 FL Practitioner - Neurosurgery 8628019437
I20230817001274 MI Practitioner - Neurosurgery 8628019437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Northern MichiganGroup PAC ID 9931018181, 60 clinicians

Practice addresses (Care Compare)

416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000

Hospital & facility affiliations

  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100
  • McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12906ALMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Jul 1, 2016 Accepting new patients
McLaren Northern Michigan CurrentSince Jul 12, 2023 Accepting new patients
McLaren Northern Michigan CurrentSince Jul 12, 2023 Accepting new patients
Imc-Neurosurgery LLC Neurological Surgery CurrentSince Oct 1, 2018 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Foley Clinic Corp Past Accepting new patients

Locations

1851 N McKenzie St
Ste 206
Foley, AL 36535
Phone (251) 677-6810

1851 N McKenzie St
Ste 101
Foley, AL 36535
Phone (251) 424-1232

3 Mobile Infirmary Cir
Ste 410
Mobile, AL 36607
Phone (251) 433-3344

3 Mobile Infirmary Cir
Ste 201A
Mobile, AL 36607
Phone (251) 435-6850

5153 N 9th Ave
Ste 300
Pensacola, FL 32504
Phone (850) 416-2554

5153 N 9th Ave
Ste 302
Pensacola, FL 32504
Phone (850) 416-2250

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

Organizations & group practices 9

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1407875016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8096 TWIN BEECH RD STE 250",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365327194",
            "telephone_number": "251-279-6520",
            "fax_number": "251-279-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8096 TWIN BEECH RD STE 250",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365327194",
            "telephone_number": "251-279-6520",
            "fax_number": "251-279-6523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Mobile Infirmary Cir Ste 410",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366073512",
            "country_code": "US",
            "telephone_number": "251-435-6850",
            "fax_number": "251-435-6859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1518 N McKenzie St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "365352276",
            "country_code": "US",
            "telephone_number": "251-424-1130",
            "fax_number": "251-424-1131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 SW 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666041301",
            "country_code": "US",
            "telephone_number": "785-354-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2660 SW 3rd St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666062442",
            "country_code": "US",
            "telephone_number": "785-354-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONDEROS",
        "first_name": "JUAN",
        "middle_name": "FELIX",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KS",
            "license": "04-48215",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "12906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "51527898",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009993025",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.