Active NPI
Jeremiah Jeffers, M.D.
- Pain Medicine (Anesthesiology) Physician
- Bayamon, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 21797
- Practice address
- KM 11.7 PR-2
Bayamon, PR 00959 - Phone
- (787) 923-6756
- NPI assigned
- Jun 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 21797 | PR | |
| Anesthesiology Physician | 207L00000X | ME136658 | FL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 21797 | PR | Primary |
Addresses
Primary practice location
KM 11.7 PR-2
Bayamon, PR 00959
Mailing address
PO Box 20004
San Juan, PR 00928-0004
Phone (623) 810-4052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- West Virginia University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1451 Ave Ashford
San Juan, PR 00907-1511
Phone (787) 296-9976
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JLJ Medical LLC | Pain Medicine | Current | Accepting new patients |
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients |
Locations
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1611 NW 12th Ave
#300
Miami, FL 33136
Phone (305) 585-6970
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Carolina, PR
- NPI 1114626934
-
- Hepatology Physician
- Miami, FL
- NPI 1013967827
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1497041537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20004",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009280004",
"telephone_number": "623-810-4052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KM 11.7 PR-2",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-923-6756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS",
"first_name": "JEREMIAH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-28",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PR",
"license": "21797",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME136658",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PR",
"license": "21797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- JCG Medical Emergency Services PSC
- JCM Pediatric Hospitalist Services of Puerto Rico
- JCM Pediatric Hospitalist Services of Puerto Rico CSP
- JD Orthotics & Prosthetics Services Corp.
- JD Prostethetics & Orthotics Services Corp.
- JF Medical & Supplies Services Corp
- JGB Distributors, Inc.
- Carol M Jimenez Bague
- Jose F Jimenez Casso, MD
- Baltasar Jimenez Conde, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.