NPIMap

Individual provider Active NPI

Jose E Fuente, M.D.

  • Nephrology Physician
  • Alma, MI
National Provider Identifier
1699718148
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301065222 Issued in MI
Practice address
315 E Warwick Dr
Suite F-2
Alma, MI 48801-1083
Phone
(989) 463-4805
Fax
(989) 463-4680
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4301065222 MI Primary

Addresses

Primary practice location

315 E Warwick Dr
Suite F-2
Alma, MI 48801-1083

Mailing address

315 E Warwick Dr
Suite F-2
Alma, MI 48801-1083
Phone (989) 463-4805

Other identifiers 11

IdentifierTypeStateIssuer
1006848OtherMIMCLAREN HEALTH PLAN
4964121MedicaidMI
0983464OtherMIHEALTHPLUS COMMERCIAL
3457591MedicaidMI
4837370MedicaidMI
1103700741OtherMIBCBSM
200000005740OtherMIPHP COMMERCIAL
1034330OtherMIMCLAREN HEALTH PLAN
4560855MedicaidMI
1102911871OtherMIBCBSM
1006847OtherMIMCLAREN HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040217000775 MI Practitioner - NephrologyPractitioner - Family Practice 1557256765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 E Warwick Dr
Suite F2
Alma, MI 48801-1083
Phone (989) 463-4805

Hospital & facility affiliations

  • DaVita Alma Dialysis Dialysis facility, Alma, MI, CCN 232676
  • DaVita Mt Pleasant Dialysis Dialysis facility, Mount Pleasant, MI, CCN 232675
  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
  • Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030
  • University of Michigan Health-Sparrow Carson Hospital, Carson City, MI, CCN 230208
  • McLaren Central Michigan Hospital, Mount Pleasant, MI, CCN 230080
  • Sheridan Community Hospital Hospital, Sheridan, MI, CCN 231312
  • Mid-Michigan Gratiot Medical Center Inpatient rehabilitation facility, Alma, MI, CCN 23T030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301065222MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gratiot-Isabella Nephrology PC Nephrology CurrentSince Apr 30, 2003 Accepting new patients
Mymichigan Medical Center Alma Nephrology Past Accepting new patients
Mymichigan Medical Center Alma PastSince Sep 1, 2008 Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

315 E Warwick Dr
Alma, MI 48801
Phone (989) 463-4805

315 E Warwick Dr
Ste D
Alma, MI 48801
Phone (989) 466-5486

315 E Warwick Dr
Ste F2
Alma, MI 48801
Phone (989) 463-4805

Interoperability endpoints

  • Direct secure messaging: josefuente@ginpc.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/11757

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 9

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1699718148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E WARWICK DR",
            "address_2": "SUITE F-2",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011083",
            "telephone_number": "989-463-4805",
            "fax_number": "989-463-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E WARWICK DR",
            "address_2": "SUITE F-2",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011083",
            "telephone_number": "989-463-4805",
            "fax_number": "989-463-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTE",
        "first_name": "JOSE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301065222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1006848",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4964121",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS COMMERCIAL",
            "identifier": "0983464",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3457591",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4837370",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1103700741",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP COMMERCIAL",
            "identifier": "200000005740",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1034330",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4560855",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1102911871",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1006847",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.