Individual provider Active NPI

Jose Jorge Pozo, MD

  • Neurology Physician
  • Port St Lucie, FL
National Provider Identifier
1508868779
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME90607 Issued in FL
Practice address
240 NW Peacock Blvd
Suite 101
Port St Lucie, FL 34986-2274
Phone
(772) 878-5057
Fax
(772) 878-5703
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME90607 FL Primary

Addresses

Primary practice location

240 NW Peacock Blvd
Suite 101
Port St Lucie, FL 34986-2274

Mailing address

240 NW Peacock Blvd
Suite 101
Port St Lucie, FL 34986-2274
Phone (772) 878-5057

Other identifiers 1

IdentifierTypeStateIssuer
270417000MedicaidFL

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
I20040817000308 FL Practitioner - Neurology 1153394457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

240 NW Peacock Blvd
Suite 101
Port St Lucie, FL 34986-2274
Phone (772) 878-5057

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jose J Pozo PA Neurology CurrentSince Aug 2, 2004 Accepting new patients

Locations

1301 N Lawnwood Cir
Fort Pierce, FL 34950
Phone (772) 461-1191

240 NW Peacock Blvd
Ste 101
Port St Lucie, FL 34986
Phone (772) 467-0348

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: josepozo@drposo.direct.emds.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1508868779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 NW PEACOCK BLVD",
            "address_2": "SUITE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862274",
            "telephone_number": "772-878-5057",
            "fax_number": "772-878-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 NW PEACOCK BLVD",
            "address_2": "SUITE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862274",
            "telephone_number": "772-878-5057",
            "fax_number": "772-878-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZO",
        "first_name": "JOSE",
        "middle_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME90607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270417000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.