Jeffrey Mandume Kerina, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME0064636 Issued in FL

Practice address

701 Medical Plaza Dr
Leesburg, FL 34748-7313

Phone

(352) 326-8115

Fax

(352) 326-4186

NPI assigned

Aug 30, 2006

Last updated

Jul 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Orthopedic Surgery

Education

State University of New York at Stony Brook, School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Surgical Practice Resource Group of Florida IncGroup PAC ID 5496030819, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Surgical Practice Resource Group of Florida Inc

  • Multi-Specialty Clinic/Center
  • Lady Lake, FL
  • NPI 1992162291
  Medicare reassignment Care Compare group NPD
• Tri-County Orthopaedic Center, PA

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Lady Lake, FL
  • NPI 1558629527
  Authorized official Same address or phone
• Tri-County Orthopaedic Center, PA

  • Physical Therapy Clinic/Center
  • Leesburg, FL
  • NPI 1609177856
  NPD (past) Authorized official
• Tri-County Orthopaedic Center,PA

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Leesburg, FL
  • NPI 1609986595
  Authorized official Same address or phone
• Surgical Home Health Specialist

  dba Unova Home Health

  • Home Health Agency
  • Leesburg, FL
  • NPI 1215384524
  NPD
• Unova ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Lady Lake, FL
  • NPI 1750169975
  NPD
• Lco Group PA

  dba Florida Musculoskeletal Institute

  • Orthopaedic Surgery Physician
  • Leesburg, FL
  • NPI 1124037783
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1447369376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MEDICAL PLAZA DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487313",
            "telephone_number": "352-326-8115",
            "fax_number": "352-326-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MEDICAL PLAZA DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487313",
            "telephone_number": "352-326-8115",
            "fax_number": "352-326-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERINA",
        "first_name": "JEFFREY",
        "middle_name": "MANDUME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0064636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373437400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF FLA",
            "identifier": "23407",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "200041253",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Jean Kennedy, LPN
• Kenneth Appah Sampong, P.a.
• Kenneth Henschel, MD, LLC (Kenneth Henschel, MD)
• Kenneth J. Cochrane, PH.D., LLC
• Matthew Kenney
• Natasha Wren Kerrick, PMHNP
• Kerrington's Care Academy Inc
• Kerrington's Care Academy Inc
• Kerrington's Care Academy Inc
• Marcus Michael Kessler, MD

• Orthopaedic Surgery Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.

Verify at the official NPI Registry.