Jaime Orlando Carrillo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME105800 Issued in FL

Practice address

708 Del Prado Blvd
Suite 9
Cape Coral, FL 33990-5616

Phone

(239) 574-5864

Fax

(239) 574-1451

NPI assigned

Aug 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Lauderdale Physician Services, LLCGroup PAC ID 0446535280, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200

Merit-based Incentive Payment System (MIPS)

Final score

97.05 of 100Reported as group

Quality

77.03

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Fort Lauderdale Physician Services, LLC

  • Hospitalist Physician
  • Fort Lauderdale, FL
  • NPI 1497209027
  Medicare reassignment Care Compare group
• Cogent Healthcare of Jacksonville, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1124252333
  Medicare reassignment NPD
• Cogent Healthcare of Jacksonville, LLC

  • Internal Medicine Physician
  • Port Orange, FL
  • NPI 1861150625
  NPD
• East Florida Hospitalists LLC

  • Hospitalist Physician
  • Margate, FL
  • NPI 1457516114
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Broward Hospital District

  • General Acute Care Hospital
  • Fort Lauderdale, FL
  • NPI 1265460232
  Care Compare affiliation

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1780877977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 DEL PRADO BLVD",
            "address_2": "SUITE 9",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339905616",
            "telephone_number": "239-574-5864",
            "fax_number": "239-574-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 DEL PRADO BLVD",
            "address_2": "SUITE 9",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339905616",
            "telephone_number": "239-574-5864",
            "fax_number": "239-574-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "JAIME",
        "middle_name": "ORLANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME105800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DQ952Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Estefany Carrasco, FNP
• Yosmel O Carrasco
• Thomas (Tomas) Carrasquillo Jr., M.D.
• Adianys Carrazana Ramirez
• Adrian Carrillo Garcia, RBT-23-300757
• Jennifer Alejandra Carrion, MD
• Maryann Carroll, SLP
• Michael Phillip Cartales, DC
• Alexa Leigh Carter
• Carol J Carter, LCSW

• Internal Medicine Physician in Cape Coral, FL
• Providers in Cape Coral, 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 Nov 8, 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.
• 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.

Verify at the official NPI Registry.