Individual provider Active NPI

Eldere Germain, MD

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1467019109
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ACN1213 Issued in FL
Practice address
453 N Kirkman Rd
Orlando, FL 32811-1109
Phone
(407) 914-2325
Fax
(407) 826-1592
NPI assigned
May 28, 2019
Last updated
Dec 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ACN1213 FL Primary
General Practice Physician 208D00000X 21223 PR

Addresses

Primary practice location

453 N Kirkman Rd
Orlando, FL 32811-1109

Mailing address

453 N Kirkman Rd Ste 203
Orlando, FL 32811-1109
Phone (407) 914-2325

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address egermain@jcmedicalcenters.com Direct

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
I20200504001629 FL Practitioner - Internal MedicinePractitioner - General PracticePractitioner - General Surgery 5193057453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
West Marion Family Practice PAGroup PAC ID 9931207545, 5 clinicians

Practice addresses (Care Compare)

8449 SW Hwy 200
Ocala, FL 34481-9695
Phone (352) 693-3378

8599 SW Hwy 200
Ocala, FL 34481-7729
Phone (352) 861-0043

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21223PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laras Chronic Medical Care LLC Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Gutteridge Jeancharles, MD, PA CurrentSince Mar 1, 2020 Accepting new patients
West Marion Family Practice PA CurrentSince Feb 1, 2021 Accepting new patients
Idr Med Florida LLC PastSince Apr 19, 2018 Accepting new patients

Locations

2760 SE 17th St
Bldg 400
Ocala, FL 34471
Phone (352) 236-6806

8599 SW Highway 200
Ocala, FL 34481
Phone (352) 861-0043

1781 Park Center Dr
Ste 120
Orlando, FL 32835
Phone (407) 297-3626

453 N Kirkman Rd
Ste 203
Orlando, FL 32811
Phone (407) 914-2325

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5813/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1467019109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 N KIRKMAN RD STE 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328111109",
            "telephone_number": "407-914-2325",
            "fax_number": "407-826-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 N KIRKMAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328111109",
            "telephone_number": "407-914-2325",
            "fax_number": "407-826-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAIN",
        "first_name": "ELDERE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ACN1213",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "egermain@jcmedicalcenters.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "453 N Kirkman Rd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328111109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.