Individual provider Active NPI

James J McClelland, MD

  • Specialist
  • Orlando, FL
National Provider Identifier
1487605416
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0037387 Issued in FL
Practice address
316 Groveland St
Orlando, FL 32804-4019
Phone
(407) 896-9660
Fax
(407) 896-9661
NPI assigned
May 15, 2006
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0037387 FL Primary

Addresses

Primary practice location

316 Groveland St
Orlando, FL 32804-4019

Mailing address

316 Groveland St
Orlando, FL 32804-4019
Phone (407) 896-9660

Other identifiers 1

IdentifierTypeStateIssuer
063769600MedicaidFL

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
I20080905000488 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 3274430301 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0037387FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Infectious Diseases Group PL Specialist CurrentSince Aug 11, 2008 Accepting new patients

Locations

3000 N Orange Ave
Ste A
Orlando, FL 32804
Phone (407) 472-0840

316 Groveland St
Orlando, FL 32804
Phone (407) 896-9660

Interoperability endpoints

  • Direct secure messaging: james.mcclelland@jjmmd.directbygreenway.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1487605416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 GROVELAND ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044019",
            "telephone_number": "407-896-9660",
            "fax_number": "407-896-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 GROVELAND ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044019",
            "telephone_number": "407-896-9660",
            "fax_number": "407-896-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "JAMES",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0037387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063769600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.