Active NPI
Anibal De Jesus, MD
- Anesthesiology Physician
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME139497
- Practice address
- 1900 Don Wickham Dr Ste 300
Clermont, FL 34711-1979 - Phone
- (352) 394-4091
- Fax
- (713) 458-4229
- NPI assigned
- Aug 20, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | K1177 | TX | |
| Anesthesiology Physician | 207L00000X | ME139497 | FL | Primary |
Addresses
Primary practice location
1900 Don Wickham Dr Ste 300
Clermont, FL 34711-1979
Mailing address
15837 Pendio Dr
Bella Collina, FL 34756-3649
Phone (832) 405-0546
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8EQ084 | Other | TX | BCBS |
| P01441236 | Other | TX | RR MEDICARE |
| 8EQ096 | Other | TX | BLUE CROSS BLUE SHIELD |
| 117009404 | Medicaid | TX |
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
- Anesthesiology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone (954) 939-5000
Hospital & facility affiliations
- Orlando Health South Lake Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| Anesthesiologists of Greater Orlando Inc | Anesthesiology | Current | Accepting new patients |
| Anesthesiologists of Greater Orlando Inc | Anesthesiology | Current | Accepting new patients |
| Anesthesiologists of Greater Orlando Inc | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
Locations
1900 Don Wickham Dr
Ste 300
Clermont, FL 34711
Phone (352) 394-4091
2040 Oakley Seaver Dr
Ste 100
Clermont, FL 34711
Phone (352) 536-8865
1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761
890 Medical Park Dr
Clermont, FL 34711
Phone (352) 241-7142
555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378
83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
17000 Porter Rd
Winter Garden, FL 34787
Phone (321) 841-3467
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.
-
- Anesthesiology Physician
- Orange City, FL
- NPI 1457300998
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Anesthesiology Physician
- Clermont, FL
- NPI 1720754088
-
- Anesthesiology Physician
- Lake Mary, FL
- NPI 1992524706
-
- Anesthesiology Physician
- Inverness, FL
- NPI 1063797264
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1598870883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15837 PENDIO DR",
"city": "BELLA COLLINA",
"state": "FL",
"postal_code": "347563649",
"telephone_number": "832-405-0546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 DON WICKHAM DR STE 300",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111979",
"telephone_number": "352-394-4091",
"fax_number": "713-458-4229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS",
"first_name": "ANIBAL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "K1177",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME139497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8EQ084",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01441236",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8EQ096",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117009404",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.