Individual provider Active NPI

Milton A Jimenez, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1437148384
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME77251 Issued in FL
Practice address
12002 SW 128TH CT Ste 204
Miami, FL 33186-4643
Phone
(305) 234-3408
Fax
(305) 255-1752
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME77251 FL Primary

Addresses

Primary practice location

12002 SW 128TH CT Ste 204
Miami, FL 33186-4643

Mailing address

12973 SW 112TH St Ste 224
Miami, FL 33186-4768
Phone (305) 234-3408

Other identifiers 1

IdentifierTypeStateIssuer
260910000MedicaidFL

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
I20040525000049 FL Practitioner - Internal Medicine 0941281257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12002 SW 128 CT
Suite 204
Miami, FL 33186-4643
Phone (305) 234-3408

Hospital & facility affiliations

  • The Palace at Home Home health agency, Miami, FL, CCN 107653
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Palace at Kendall Nursing and Rehabilitation Cente Nursing home, Miami, FL, CCN 105719
  • Nspire Healthcare Kendall Nursing home, Kendall, FL, CCN 105641
  • Homestead Manor a Palace Community Nursing home, Homestead, FL, CCN 105541

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME77251FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Milton a Jimenez MD PA Internal Medicine CurrentSince Aug 1, 2009 Accepting new patients

Locations

12973 SW 112th St
Miami, FL 33186
Phone (305) 204-7037

12002 SW 128th Ct
Ste 204
Miami, FL 33186
Phone (305) 234-8264

9820 SW 88th St
Miami, FL 33176
Phone (305) 271-6311

Organizations & group practices 1

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 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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1437148384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12973 SW 112TH ST STE 224",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864768",
            "telephone_number": "305-234-3408",
            "fax_number": "305-255-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 SW 128TH CT STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864643",
            "telephone_number": "305-234-3408",
            "fax_number": "305-255-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MILTON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME77251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260910000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.