Jose Miguel Pestana, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS9855 Issued in FL

Practice address

4168 Woodlands Pkwy
Suite B
Palm Harbor, FL 34685-3496

Phone

(727) 781-7711

Fax

(727) 781-8711

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

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

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.

• Pelham Medical Center

  • Emergency Medicine Physician
  • Greer, SC
  • NPI 1619133568
  Medicare reassignment NPD
• Pelham Medical Center

  • Pain Medicine Physician
  • Greer, SC
  • NPI 1942960844
  NPD
• Bay Sound Inpatient Services LLC

  • Hospitalist Physician
  • St Petersburg, FL
  • NPI 1598034811
  NPD (past)
• Community Hospitalists of Pinella

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1215910260
  NPD (past)
• Elias Kanaan MD PA

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1538177928
  NPD (past)
• Oak Hill Hospitalist, LLC

  • Internal Medicine Physician
  • Brooksville, FL
  • NPI 1720152283
  NPD (past)
• David a Schwartz

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1497940589
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1750470548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4168 WOODLANDS PKWY",
            "address_2": "SUITE B",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853496",
            "telephone_number": "727-781-7711",
            "fax_number": "727-781-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4168 WOODLANDS PKWY",
            "address_2": "SUITE B",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853496",
            "telephone_number": "727-781-7711",
            "fax_number": "727-781-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTANA",
        "first_name": "JOSE",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05685",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279033500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Performance Rehab Institute & Sports Medicine, Inc.
• Marie Perkins, A.P.
• Caryne Perrone, M.A., CCC-SLP
• Ashley W Perry, DPT
• Susan Persaud, APRN
• Peter T Dinapoli MD PA
• Alina Peterson
• Lori Peterson
• Christine Petzing, MD
• Theresa Pham, DC

• Internal Medicine Physician in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.