Individual provider Active NPI

Alejandro Jimenez Restrepo, MD

  • Clinical Cardiac Electrophysiology Physician
  • Atlantis, FL
National Provider Identifier
1609058890
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME163451 Issued in FL
Practice address
180 JFK Dr Ste 311
Atlantis, FL 33462-6641
Phone
(561) 434-0353
Fax
(561) 357-0869
NPI assigned
Nov 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X ME163451 FL Primary

Addresses

Primary practice location

180 JFK Dr Ste 311
Atlantis, FL 33462-6641

Mailing address

P O Box 70280 Lockbox 10346
Philadelphia, PA 19176-0280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200526001520 WI Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 7911273800 Reassigns benefits to 5 organizations
I20230912000220 FL Practitioner - Cardiac Electrophysiology 7911273800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Electrophysiology Associates PAGroup PAC ID 1557559952, 14 clinicians

Practice addresses (Care Compare)

180 JFK Dr
Suite 311
Atlantis, FL 33462-6641
Phone (561) 434-0353

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair50
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME163451FLMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Electrophysiology Associates PA Clinical Cardiac Electrophysiology CurrentSince Sep 1, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince May 18, 2020 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince May 1, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince May 1, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince May 1, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince May 18, 2020 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince May 1, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince May 18, 2020 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince May 1, 2023 Accepting new patients

Locations

180 John F Kennedy Dr
Ste 311
Atlantis, FL 33462

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHGBDA
  • Direct secure messaging: ajimenezrestrepo20100@jupitermedicalcenter.direct-ci.com
  • Direct secure messaging: alejandro.jimenezrestrepo@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 11

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": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1609058890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 70280 LOCKBOX 10346",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191760280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JFK DR STE 311",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-434-0353",
            "fax_number": "561-357-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ RESTREPO",
        "first_name": "ALEJANDRO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME163451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.