Active NPI
Jamie A Cesaretti, MD
- Radiation Oncology Physician
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME102354
- Practice address
- 1561 W Fairbanks Ave
Suite 100
Winter Park, FL 32789-4678 - Phone
- (407) 478-4920
- Fax
- (407) 478-4921
- NPI assigned
- Feb 3, 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ME102354 | FL | Primary |
| Radiation Oncology Physician | 2085R0001X | 2233361 | NY |
Addresses
Primary practice location
1561 W Fairbanks Ave
Suite 100
Winter Park, FL 32789-4678
Mailing address
7017 A C Skinner Parkway
Jacksonville, FL 32256
Phone (904) 520-6800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000285800 | Medicaid | FL | |
| 318866 | Other | FL | AVMED |
| 53300 | Other | FL | BCBS OF FL |
| 02637534 | Medicaid | NY |
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
- Radiation Oncology
- Education
- State University of New York at Stony Brook, School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7017 A C Skinner Pkwy
Jacksonville, FL 32256-6932
Phone (904) 483-2310
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME102354 | FL | MD | Radiation Oncology Physician |
| 2233361 | NY | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Physician Specialists LLC | Radiation Oncology | Current | Accepting new patients |
| Florida Physician Specialists LLC | Radiation Oncology | Current | Accepting new patients |
| Memorial Southside Cancer Center LLC | Past | Accepting new patients | |
| North Florida Cancer Center Lake City LLC | Radiation Oncology | Past | Accepting new patients |
| North Florida Cancer Center Live Oak LLC | Radiation Oncology | Past | Accepting new patients |
| Integrated Community Oncology Network LLC | Radiation Oncology | Past | Accepting new patients |
Locations
710 Lomax St
Ste 1
Jacksonville, FL 32204
Phone (904) 483-2310
7017 A C Skinner Pkwy
Jacksonville, FL 32256
Phone (904) 520-6800
5742 Booth Rd
Ste B
Jacksonville, FL 32207
Phone (904) 309-8680
710 Lomax St
Jacksonville, FL 32204
Phone (904) 355-6584
1375 Roberts Dr
Ste 100
Jax Bch, FL 32250
Phone (904) 242-0166
2161 Kingsley Ave
Ste 100
Orange Park, FL 32073
Phone (904) 276-2303
1895 Kingsley Ave
Ste 600
Orange Park, FL 32073
Phone (904) 276-2303
600 Zeagler Dr
Ste 2
Palatka, FL 32177
Phone (386) 325-8140
300 Health Park Blvd
Ste 1008
St Augustine, FL 32086
Phone (904) 264-8418
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiation Oncology Physician
- Jacksonville, FL
- NPI 1588917108
-
- Radiation Oncology Physician
- Jacksonville, FL
- NPI 1033544390
-
dba Florida Radiation Oncology Group
- Radiation Oncology Physician
- Jacksonville, FL
- NPI 1043230402
-
dba Memorial Cancer Center
- Radiation Oncology Clinic/Center
- Jacksonville, FL
- NPI 1588724033
-
dba The Cancer Center at Lake City
- Radiation Oncology Physician
- Lake City, FL
- NPI 1902893902
-
- Radiation Oncology Physician
- Live Oak, FL
- NPI 1730176215
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1669444725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7017 A C SKINNER PARKWAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32256",
"telephone_number": "904-520-6800",
"fax_number": "904-520-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 W FAIRBANKS AVE",
"address_2": "SUITE 100",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894678",
"telephone_number": "407-478-4920",
"fax_number": "407-478-4921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CESARETTI",
"first_name": "JAMIE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME102354",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "2233361",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000285800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "318866",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "53300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02637534",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.