Active NPI
Juan Felix Ronderos, M.D.
- Neurological Surgery Physician
- Fairhope, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 12906
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51527898 | Other | AL | BC |
| 009993025 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Michigan
Practice addresses (Care Compare)
416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000
Hospital & facility affiliations
- Thomas Hospital
- McLaren Northern Michigan
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12906 | AL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| Imc-Neurosurgery LLC | Neurological Surgery | Current | 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.
-
- Neurological Surgery Physician
- Mobile, AL
- NPI 1649778259
AL, Neurological Surgery
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
-
- Rehabilitation Hospital Unit
- Petoskey, MI
- NPI 1942370754
-
- General Acute Care Hospital
- Petoskey, MI
- NPI 1992812580
-
- Multi-Specialty Clinic/Center
- Foley, AL
- NPI 1619928165
-
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1659374155
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.