Active NPI
Jade Gieseke Guevara, M.D.
- Ophthalmology Physician
- Pembroke Pines, FL
National Provider Identifier
1780003459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME136354
- Practice address
- 601 N Flamingo Rd Ste 215
Pembroke Pines, FL 33028-1015 - Phone
- (954) 452-9922
- Fax
- (352) 265-1107
- NPI assigned
- Apr 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME136354 | FL | Primary |
Addresses
Primary practice location
601 N Flamingo Rd Ste 215
Pembroke Pines, FL 33028-1015
Mailing address
2046 E Sample Rd
Lighthouse Point, FL 33064-7596
Phone (954) 994-2020
Other practice location 1
4800 NE 20th Ter Ste 303A
Fort Lauderdale, FL 33308-4510
Phone (954) 771-4271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025124300 | Medicaid | FL |
Other names 1
- Jade Ashley Gieseke
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
- Ophthalmology
- Education
- University of Florida College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2046 E Sample Rd
Lighthouse Point, FL 33064-7596
Phone (954) 994-2020
Hospital & facility affiliations
- Broward Health Imperial Point
- Holy Cross Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 194 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James E Lang MD PA | Current | Accepting new patients | |
| Insight Eye Institute LLC | Ophthalmology | Current | Accepting new patients |
| Inna Ozerov MD PA | Past | Accepting new patients | |
| North Ridge Eye Center, P.a. | Ophthalmology | Past | Accepting new patients |
| Retina Macula Specialists of Miami LLC | Ophthalmology | Past | Accepting new patients |
Locations
4800 NE 20th Ter
Ste 305
Ft Lauderdale, FL 33308
Phone (954) 491-1111
2046 E Sample Rd
Lighthouse Point, FL 33064
Phone (954) 994-2020
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jade.guevaramd.p17@direct.eyefl.nextgenshare.com
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Lighthouse Point, FL
- NPI 1881321958
-
- Specialist
- Ft Lauderdale, FL
- NPI 1780616276
-
- Ophthalmology Physician
- Hollywood, FL
- NPI 1013461904
-
- Specialist
- Hollywood, FL
- NPI 1568723476
-
- Ophthalmology Physician
- Ft Lauderdale, FL
- NPI 1700941002
-
- Ophthalmology Physician
- Pembroke Pines, FL
- NPI 1194424572
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1265460232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1780003459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2046 E SAMPLE RD",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330647596",
"telephone_number": "954-994-2020",
"fax_number": "994-994-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD STE 215",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281015",
"telephone_number": "954-452-9922",
"fax_number": "352-265-1107"
}
],
"practiceLocations": [
{
"address_1": "4800 NE 20th Ter Ste 303A",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333084510",
"country_code": "US",
"telephone_number": "954-771-4271",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUEVARA",
"first_name": "JADE",
"middle_name": "GIESEKE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME136354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025124300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JADE",
"last_name": "GIESEKE",
"middle_name": "ASHLEY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.