Active NPI
Juan Diego Rondon, MD
- Emergency Medicine Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME155174
- Practice address
- 1515 SW Archer Rd
Gainesville, FL 32608-1134 - Phone
- (352) 733-0111
- NPI assigned
- Apr 2, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | ME155174 | FL | Primary |
Addresses
Primary practice location
1515 SW Archer Rd
Gainesville, FL 32608-1134
Mailing address
11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 592-2757
Other practice location 1
11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (351) 592-2755
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 596-6632
Hospital & facility affiliations
- HCA Florida Oak Hill Hospital
- HCA Florida Citrus Hospital
- HCA Florida Brandon Hospital
- HCA Florida South Tampa Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.54 of 100
- Quality
- 38.49
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME155174 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Emergency Physicians Kang and Associates MD LLC | Emergency Medicine | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Ridgewood Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Ridgewood Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
11375 Cortez Blvd
Fl Oak
Brooksville, FL 34613
Phone (352) 592-2753
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800
40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
1515 SW Archer Rd
Gainesville, FL 32608
Phone (352) 265-0916
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
6945 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (863) 419-2496
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
-
- Emergency Medicine Physician
- Davenport, FL
- NPI 1750862694
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1679324842
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Inverness, FL
- NPI 1750780342
-
- General Acute Care Hospital
- Brandon, FL
- NPI 1669427258
-
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1871935072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1578025169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11375 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135409",
"telephone_number": "352-592-2757",
"fax_number": "352-591-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081134",
"telephone_number": "352-733-0111"
}
],
"practiceLocations": [
{
"address_1": "11375 Cortez Blvd",
"address_purpose": "LOCATION",
"city": "Brooksville",
"state": "FL",
"postal_code": "346135409",
"country_code": "US",
"telephone_number": "351-592-2755",
"fax_number": "352-592-2753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RONDON",
"first_name": "JUAN",
"middle_name": "DIEGO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-02",
"last_updated": "2022-08-10",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME155174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.