Jerry Martin Alstott, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

ME0037307 Issued in FL

Practice address

8030 Saint James Way
Mount Dora, FL 32757-9134

Phone

(407) 908-0064

Fax

(352) 383-9319

NPI assigned

Jun 17, 2006

Last updated

May 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Family PracticeAlso: Geriatric Medicine

Education

University of Missouri, Kansas City, School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beachside Center for Rehabilitation and Nursing Nursing home, New Smyrna Beach, FL, CCN 105038
• Harborview Health Center West Altamonte Nursing home, Altamonte Springs, FL, CCN 105843

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Omni Family Medicine, LLC

  dba Jerry M Alstott MD

  • Adult Medicine Physician
  • Mount Dora, FL
  • NPI 1063785095
  Medicare reassignment NPD Authorized official
• Wekiva Health Care PA LLC

  • Family Medicine Physician
  • Apopka, FL
  • NPI 1184810483

  Adult Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beachside Opco LLC

  • Skilled Nursing Facility
  • New Smyrna Beach, FL
  • NPI 1700565678

  Nursing home

  Care Compare affiliation
• West Altamonte Nursing and Rehabilitation Center by Harborview LLC

  • Skilled Nursing Facility
  • Altamonte Springs, FL
  • NPI 1245086693

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1467497271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 SAINT JAMES WAY",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327579134",
            "telephone_number": "407-908-0064",
            "fax_number": "352-383-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 SAINT JAMES WAY",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327579134",
            "telephone_number": "407-908-0064",
            "fax_number": "352-383-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSTOTT",
        "first_name": "JERRY",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME0037307",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0037307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina Community Center at Mount Dora LLC
• All About Hearing LLC (Lake Audiology & Hearing Center)
• Julie L Allen, LMT
• Patricia Allen
• Chantal Jenema Alleyne-Simmons
• Jasmine Nicole Ambrosio, DC
• Rhonda Anderson, LPN
• Anesthesia and Pain Consultants of Central Florida, LLC
• Angels Around You Home Care LLC
• Angels Home Care of Florida LLC

• Geriatric Medicine (Family Medicine) Physician in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.