Active NPI
Bermily Maldonado-Colon, MD
- Nephrology Physician
- Lakeland, FL
National Provider Identifier
1790969749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME113387
- Practice address
- 1745 Lakeland Hills Blvd
Lakeland, FL 33805-3016 - Phone
- (863) 688-0576
- Fax
- (863) 686-5907
- NPI assigned
- Dec 27, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME113387 | FL | Primary |
Addresses
Primary practice location
1745 Lakeland Hills Blvd
Lakeland, FL 33805-3016
Mailing address
1745 Lakeland Hills Blvd
Lakeland, FL 33805-3016
Phone (863) 688-0576
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121005000677 | FL | Practitioner - Nephrology | 4486803434 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Central Florida Kidney Care PA
Practice addresses (Care Compare)
1745 Lakeland Hills Blvd
Lakeland, FL 33805-3016
Phone (863) 688-0576
Hospital & facility affiliations
- Lakes Dialysis Center
- DaVita Bartow Dialysis
- DaVita Harden Dialysis
- DaVita Lakeland Dialysis
- DaVita Lake Vista Dialysis
- Lakeland Regional Medical Center
- Bartow Regional Medical Center
- Winter Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 84.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Kidney Care PA | Nephrology | Current | Accepting new patients |
Locations
1745 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 688-0576
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 1
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 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bartow, FL
- NPI 1174590749
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lakeland, FL
- NPI 1073580189
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Miami Lakes, FL
- NPI 1689987539
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lakeland, FL
- NPI 1770141665
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lakeland, FL
- NPI 1295021095
Dialysis facility
-
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1790969749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053016",
"telephone_number": "863-688-0576",
"fax_number": "863-686-5907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053016",
"telephone_number": "863-688-0576",
"fax_number": "863-686-5907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO-COLON",
"first_name": "BERMILY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-27",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME113387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.