Individual provider Active NPI

Jessica Edith Jairala-Bermudez, PA

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1548603756
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9107147 Issued in FL
Practice address
7500 SW 87TH Ave
Ste 200
Miami, FL 33173-5426
Phone
(305) 913-0666
Fax
(305) 913-0663
NPI assigned
Apr 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9107147 FL Primary

Addresses

Primary practice location

7500 SW 87TH Ave
Ste 200
Miami, FL 33173-5426

Mailing address

7500 SW 87TH Ave
Ste 200
Miami, FL 33173-5426
Phone (305) 913-0666

Other identifiers 1

IdentifierTypeStateIssuer
PA9107147OtherFLMEDICAL LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130513000468 FL Practitioner - Physician Assistant 2567609415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

3661 S Miami Ave
Miami, FL 33133-4214
Phone (305) 856-7333

9408 SW 87 Ave
Miami, FL 33176-2416
Phone (305) 913-0666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health LLC CurrentSince Mar 30, 2013 Accepting new patients
Gastro Health, LLC CurrentSince Mar 30, 2013 Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients

Locations

9408 SW 87th Ave
Ste 200
Miami, FL 33176
Phone 3054684190 ext. 5003

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

7500 SW 87th Ave
Ste 200
Miami, FL 33173
Phone (305) 666-1333

Interoperability endpoints

  • Direct secure messaging: jessicajairala@directaddress.net
  • Direct secure messaging: jessica.jairala@gastrohealth.eclinicaldirectplus.com

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.

Hospital & facility affiliations 3

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1548603756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SW 87TH AVE",
            "address_2": "STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735426",
            "telephone_number": "305-913-0666",
            "fax_number": "305-913-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 SW 87TH AVE",
            "address_2": "STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735426",
            "telephone_number": "305-913-0666",
            "fax_number": "305-913-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIRALA-BERMUDEZ",
        "first_name": "JESSICA",
        "middle_name": "EDITH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA9107147",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.