Individual provider Active NPI

Mihaela Ionescu, MD

  • Specialist
  • Orange Park, FL
National Provider Identifier
1598734154
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME79995 Issued in FL
Practice address
1536 Kingsley Ave Ste 118
Orange Park, FL 32073-4525
Phone
(904) 298-2113
Fax
(904) 298-1922
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME79995 FL
Specialist 174400000X ME79995 FL Primary

Addresses

Primary practice location

1536 Kingsley Ave Ste 118
Orange Park, FL 32073-4525

Mailing address

2021 Kingsley Ave Ste 101
Orange Park, FL 32073-5128
Phone (904) 298-2113

Other identifiers 1

IdentifierTypeStateIssuer
258902800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME79995FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Park Neurosurgery P.L. Past Accepting new patients
Pablo M Pella, M.D., P.a. Specialist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1598734154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 KINGSLEY AVE STE 101",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735128",
            "telephone_number": "904-298-2113",
            "fax_number": "904-298-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 KINGSLEY AVE STE 118",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734525",
            "telephone_number": "904-298-2113",
            "fax_number": "904-298-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IONESCU",
        "first_name": "MIHAELA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME79995",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME79995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258902800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.