Individual provider Active NPI

Andrea Esperanza Deneen, MD

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1679679781
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME112153 Issued in FL
Practice address
7011 A C Skinner Pkwy
Suite 160
Jacksonville, FL 32256-6954
Phone
(904) 493-3333
Fax
(904) 493-2222
NPI assigned
Sep 15, 2006
Last updated
Oct 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME112153 FL Primary

Addresses

Primary practice location

7011 A C Skinner Pkwy
Suite 160
Jacksonville, FL 32256-6954

Mailing address

PO Box 551308
Jacksonville, FL 32255-1308
Phone (904) 493-3333

Other identifiers 1

IdentifierTypeStateIssuer
006499700MedicaidFL

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
I20120706000048 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9133195605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Texas Medical School at San Antonio, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

115 Bartram Oaks Walk
Suite 104
Fruit Cove, FL 32259-3247
Phone (904) 493-3333

1465 Kingsley Ave
Orange Park, FL 32073-4504
Phone (904) 644-0092

1675 Eagle Harbor Pkwy
Fleming Island, FL 32003-4802
Phone (904) 644-0092

205 Zeagler Dr
Palatka, FL 32177-3888
Phone (386) 325-2836

3627 University Blvd S
Suite 435
Jacksonville, FL 32216-4238
Phone (904) 724-5000

7011 A C Skinner Pkwy
Suite 160
Jacksonville, FL 32256-6953
Phone (904) 493-3333

905 Beach Blvd
Jacksonville, FL 32250-4303
Phone (904) 493-3333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.46 of 100Reported as group
Quality
91.35
Promoting interoperability
99
Improvement activities
40
Cost
81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME112153FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Cardiovascular Institute LLC CurrentSince Jun 1, 2012 Accepting new patients
Cardiology Interpreters Inc CurrentSince Feb 6, 2013 Accepting new patients
First Coast Cardiovascular Institute, LLC Cardiovascular Disease CurrentSince Jun 1, 2012 Accepting new patients
Clearwater Cardiovascular and Interventional Consultants MD PA Cardiovascular Disease Past Accepting new patients

Locations

3900 University Blvd S
Jacksonville, FL 32216
Phone (904) 222-6656

7011 A C Skinner Pkwy
Ste 160
Jacksonville, FL 32256
Phone (904) 642-0877

905 Beach Blvd
Jax Bch, FL 32250
Phone (904) 241-8300

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

1465 Kingsley Ave
Orange Park, FL 32073
Phone (904) 644-0092

1681 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 644-0092

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEIHCA

Organizations & group practices 4

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 1

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1679679781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551308",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322551308",
            "telephone_number": "904-493-3333",
            "fax_number": "904-493-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 A C SKINNER PKWY",
            "address_2": "SUITE 160",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566954",
            "telephone_number": "904-493-3333",
            "fax_number": "904-493-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEEN",
        "first_name": "ANDREA",
        "middle_name": "ESPERANZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME112153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006499700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.