Active NPI
Jason Acosta, MD
- General Practice Physician
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN937
- Practice address
- 200 E Highland Ave
Clermont, FL 34711-2582 - Phone
- (352) 432-8989
- Fax
- (844) 388-6186
- NPI assigned
- Feb 11, 2016
- Last updated
- Aug 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 13732I | PR | |
| General Practice Physician | 208D00000X | ACN937 | FL | Primary |
Addresses
Primary practice location
200 E Highland Ave
Clermont, FL 34711-2582
Mailing address
601 S Harbour Island Blvd
Tampa, FL 33602-5735
Phone (727) 322-3439
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
- General Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11317 Lake Underhill Rd
Suite 400
Orlando, FL 32825-4452
Phone (407) 499-5900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN937 | FL | MD | General Practice Physician |
| 13732I | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Associates LLC | Current | Accepting new patients |
Locations
200 E Highland Ave
Ste 1
Clermont, FL 34711
Phone (352) 394-3611
13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900
11317 Lake Underhill Rd
Ste 400
Orlando, FL 32825
Phone (407) 499-5900
601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jason.acosta@sl.eclinicaldirectplus.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1689033201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S HARBOUR ISLAND BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025735",
"telephone_number": "727-322-3439",
"fax_number": "800-928-7449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E HIGHLAND AVE",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347112582",
"telephone_number": "352-432-8989",
"fax_number": "844-388-6186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-11",
"last_updated": "2022-08-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "13732I",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.