Joshua Ray Jimenez, MD
Individual provider Active NPI Internal Medicine Physician · Skaneateles, NY
NPI 1437612942 · NPPES record last updated Aug 19, 2022
Key facts
- NPI
- 1437612942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 314971 (NY)
- Practice address
- 783 Franklin St
Skaneateles, NY 13152-9313 - Phone
- (315) 685-8988
- NPI assigned
- Apr 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- State University of Ny Upstate Medical University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Familycare Medical Group PC
United Medical Associates PC
Upstate Community Medical, PC
Crouse Health Hospital Inc
Practice addresses (Care Compare)
1001 W Fayette St
Suite 400
Syracuse, NY 13204-2866
Phone (315) 472-1488
250 Township Blvd
Suite 20
Camillus, NY 13031-1674
Phone (315) 671-9035
2700 Bellevue Ave
Syracuse, NY 13219-3238
Phone (315) 492-5784
33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6622
4488 Onondaga Blvd
Syracuse, NY 13219-3114
Phone (315) 492-5784
4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 492-5678
736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111
Hospital & facility affiliations
- Centerwell Home Health
- HCR Home Care
- Nascentia Health at Home
- United Health Services Hospitals, Inc
- Auburn Community Hospital
- Crouse Hospital
- University Hospital S U N Y Health Science Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220727003592 | NY | Practitioner - Internal Medicine |
8820470545 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crouse Health Hospital Inc | Multi-Specialty | Current |
Accepting new patients |
| United Medical Associates, P.C. | Current |
Accepting new patients | |
| United Medical Associates PC | Multi-Specialty | Current |
Accepting new patients |
| Upstate Community Medical, PC | Multi-Specialty | Current |
Accepting new patients |
| Familycare Medical Group, PC | Multi-Specialty | Current |
Accepting new patients |
| Crouse Health Hospital, Inc. | Current |
Accepting new patients | |
| Suny Health Science Center at Syracuse | Multi-Specialty | Past | Accepting new patients |
| Your Health Your Choice Dietetics and Nutrition PLLC | Multi-Specialty | Past |
Accepting new patients |
| United Health Services Hospitals, Inc. | Past | Accepting new patients |
Locations
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678
Interoperability endpoints
- https://epicproxy.et1127.epichosted.com/FHIRproxy/api/FHIR/R4/
- jimenezj@hiemail.healtheconnections.org
- jjimenez50382@direct.upstate.edu
- jjimenez@fcmg.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 314971 | NY | Yes |
Addresses
Primary practice location
783 Franklin St
Skaneateles, NY 13152-9313
Mailing address
783 Franklin St
Skaneateles, NY 13152-9313
Other practice location 1
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-5240
Other providers in Skaneateles, NY
- Serena A. Hamel
- Alison Hellwig
- Mary Ellen Hennigan
- Jaebsary Patient Transport, Inc.
- Kirby Janke
- John J Maurillo Odpc
- Joseph F. McCaffrey, M.D. PC
- Joshua Daniel Justin
- Melissa Mary Kallfelz
- Gail B Keenen
All providers in Skaneateles, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.