Individual provider Active NPI

Jacqueline E. Hamilton, MD

  • Urology Physician
  • Ocoee, FL
National Provider Identifier
1598790040
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME75548 Issued in FL
Practice address
10000 W Colonial Dr
Suite 285
Ocoee, FL 34761-3498
Phone
(407) 298-6950
Fax
(407) 578-2354
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME75548 FL Primary

Addresses

Primary practice location

10000 W Colonial Dr
Suite 285
Ocoee, FL 34761-3498

Mailing address

10000 W Colonial Dr
Suite 285
Ocoee, FL 34761-3498
Phone (407) 298-6950

Other identifiers 1

IdentifierTypeStateIssuer
254933600MedicaidFL

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
I20080303000615 FL Practitioner - Urology 3476637216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Howard University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

7301 Stonerock Cir
Suite 1
Orlando, FL 32819-8004
Phone (407) 298-6950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12419FLMDRegistered Dietitian
ME75548FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2009 Accepting new patients
Orlando Health Medical Group Inc Urology CurrentSince Jul 1, 2009 Accepting new patients
Florida Institute of Research Medicine and Surgery PA Past Accepting new patients

Locations

1135 Lake Ave
Clermont, FL 34711
Phone (352) 394-3195

10000 W Colonial Dr
Ste 285
Ocoee, FL 34761
Phone (321) 841-2020

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

7301 Stonerock Cir
Orlando, FL 32819
Phone (407) 345-0005

7301 Stonerock Cir
Ste 1
Orlando, FL 32819
Phone (352) 512-9139

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jhamilton27349@orlandohealth.medalliesdirect.net

Organizations & group practices 4

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 4

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1598790040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR",
            "address_2": "SUITE 285",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613498",
            "telephone_number": "407-298-6950",
            "fax_number": "407-578-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR",
            "address_2": "SUITE 285",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613498",
            "telephone_number": "407-298-6950",
            "fax_number": "407-578-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JACQUELINE",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME75548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254933600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.