Individual provider Active NPI

Sheena Mary Jose, MD

  • Infectious Disease Physician
  • Orlando, FL
National Provider Identifier
1659307759
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME109765 Issued in FL
Practice address
10967 Lake Under Hill Rd
Unit 137
Orlando, FL 32825-4455
Phone
(407) 930-1030
Fax
(407) 386-7277
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME109765 FL Primary

Addresses

Primary practice location

10967 Lake Under Hill Rd
Unit 137
Orlando, FL 32825-4455

Mailing address

10967 Lake Under Hill Rd
Unit 137
Orlando, FL 32825-4455
Phone (407) 930-1030

Other identifiers 1

IdentifierTypeStateIssuer
004574400MedicaidFL

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
I20120302000562 FL Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Geriatric Medicine 3779510474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Geriatric Medicine, Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10967 Lake Underhill Rd
Suite 137
Orlando, FL 32825-4455
Phone (407) 930-1030

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Associates, LLP PastSince Jul 25, 2019 Accepting new patients
Florida Infectious Disease Specialists Inc. Infectious Disease PastSince Dec 1, 2012 Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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 2

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1659307759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10967 LAKE UNDER HILL RD",
            "address_2": "UNIT 137",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254455",
            "telephone_number": "407-930-1030",
            "fax_number": "407-386-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10967 LAKE UNDER HILL RD",
            "address_2": "UNIT 137",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254455",
            "telephone_number": "407-930-1030",
            "fax_number": "407-386-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "SHEENA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME109765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004574400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.