Individual provider Active NPI

Jorge Hurtado-Cordovi, MD

  • Medical Oncology Physician
  • Vero Beach, FL
National Provider Identifier
1780993907
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME128426 Issued in FL
Practice address
3730 7TH Ter Ste 101
Vero Beach, FL 32960-6556
Phone
(772) 567-2332
Fax
(844) 812-2806
NPI assigned
Oct 5, 2010
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X ME128426 FL
Hematology & Oncology Physician 207RH0003X ME128426 FL
Medical Oncology Physician 207RX0202X ME128426 FL Primary

Addresses

Primary practice location

3730 7TH Ter Ste 101
Vero Beach, FL 32960-6556

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

13060 US Highway 1 Ste A
Sebastian, FL 32958-3733
Phone (772) 589-0879

Other identifiers 1

IdentifierTypeStateIssuer
018314000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161026000625 FL Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - HematologyPractitioner - Hematology/Oncology 7719265701 Reassigns benefits to 5 organizations
I20240326000425 WV Practitioner - Hematology/Oncology 7719265701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13060 US Hwy 1
Suite a
Sebastian, FL 32958-3771
Phone (772) 589-0879

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Mar 18, 2024 Accepting new patients
Halifax Healthcare Systems Inc Medical Oncology CurrentSince Feb 15, 2021 Accepting new patients
Lee Memorial Health System CurrentSince Oct 2, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Mar 18, 2024 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Oct 1, 2023 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Aug 9, 2024 Accepting new patients
Starling Oncology FL, LLC Hematology & Oncology CurrentSince May 23, 2022 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology CurrentSince Oct 1, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Oct 2, 2024 Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

18000 Studebaker Rd
Ste 800
Cerritos, CA 90703

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

303 N Clyde Morris Blvd
Fl First
Daytona Beach, FL 32114
Phone (386) 425-6198

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

8925 Colonial Center Dr
Ste 2001
Fort Myers, FL 33905
Phone (239) 343-9567

8931 Colonial Center Dr
Ste 300
Fort Myers, FL 33905
Phone (239) 343-9567

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

3702 Washington St
Ste 407
Hollywood, FL 33021
Phone (754) 348-0168

1185 Dunlawton Ave
Ste 105
Port Orange, FL 32127
Phone (386) 322-4750

13060 US Highway 1
Fl Cancer
Sebastian, FL 32958
Phone (772) 589-0879

13060 US Highway 1
Ste A
Sebastian, FL 32958
Phone (772) 589-0879

6499 38th Ave N
Ste G1
St Petersburg, FL 33710
Phone (727) 381-3761

4700 N Habana Ave
Ste 702
Tampa, FL 33614
Phone (813) 757-8497

830 Century Medical Dr
Ste B
Titusville, FL 32796
Phone (321) 383-3203

845 Century Medical Dr
Titusville, FL 32796
Phone (321) 268-6831

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

3730 7th Ter
Ste 101
Vero Beach, FL 32960
Phone (772) 567-2332

3730 7th Ter
Ste 204
Vero Beach, FL 32960
Phone (772) 581-0528

2000 Foundation Way
Ste 2600
Martinsburg, WV 25401
Phone (304) 263-7023

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

705 Garfield Ave
Ste 220
Parkersburg, WV 26101
Phone (304) 424-2276

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jorge.hurtado-cordovi@theoncologyinstitute.ikm.direct-ci.com
  • Direct secure messaging: jorge.hurtado@southfloridacancercare.ikm.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1780993907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 7TH TER STE 101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606556",
            "telephone_number": "772-567-2332",
            "fax_number": "844-812-2806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13060 US Highway 1 Ste A",
            "address_purpose": "LOCATION",
            "city": "Sebastian",
            "state": "FL",
            "postal_code": "329583733",
            "country_code": "US",
            "telephone_number": "772-589-0879",
            "fax_number": "844-795-2187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURTADO-CORDOVI",
        "first_name": "JORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-05",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME128426",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME128426",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME128426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018314000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.