Individual provider Active NPI

Juan Vincent Crespo, M.D.

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1609824879
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME82512 Issued in FL
Practice address
2415 SE 17TH St
Ocala, FL 34471-2618
Phone
(352) 732-5365
Fax
(352) 732-5372
NPI assigned
May 4, 2006
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME82512 FL Primary

Addresses

Primary practice location

2415 SE 17TH St
Ocala, FL 34471-2618

Mailing address

2405 SE 17TH St
Ocala, FL 34471-9192
Phone (352) 732-5365

Other identifiers 2

IdentifierTypeStateIssuer
278235900MedicaidFL
95829OtherFLBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JUAN.CRESPO@hca5.eclinicaldirectplus.com

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
I20070830000193 FL Practitioner - Family Practice 9537252929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calhoun and Donnelly PAGroup PAC ID 8123936507, 23 clinicians
Ocala Health Primary Care LLCGroup PAC ID 9931398120, 21 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1015 SE 17TH St
300 Mid Florida Physical Therapy
Ocala, FL 34471-3943
Phone (352) 629-4509

2415 SE 17TH St
Ocala, FL 34471-2618
Phone (352) 732-5365

3845 SE Lake Weir Ave
Cora Physical Therapy East Ocala
Ocala, FL 34480-9153
Phone (352) 693-3378

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Health Primary Care LLC Family Medicine CurrentSince Dec 1, 2010 Accepting new patients

Locations

10696 SE US Highway 441
Belleview, FL 34420
Phone (352) 245-1111

4850 SE 110th St
Belleview, FL 34420
Phone (352) 233-2360

1111 NE 25th Ave
Ste 302
Ocala, FL 34470
Phone (352) 622-2221

2300 SE 17th St
Ste 402
Ocala, FL 34471
Phone (352) 351-0120

2415 SE 17th St
Ocala, FL 34471
Phone (352) 732-5365

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: juan.crespo@hca5.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1609824879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719192",
            "telephone_number": "352-732-5365",
            "fax_number": "352-732-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712618",
            "telephone_number": "352-732-5365",
            "fax_number": "352-732-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "JUAN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME82512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278235900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "95829",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JUAN.CRESPO@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2415 SE 17th St",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344712618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.