Individual provider Active NPI

Alberto Isaac Alzate, MD

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1801874490
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0081335 Issued in FL
Practice address
3625 University Blvd S
Emergency Department
Jacksonville, FL 32216-4207
Phone
(904) 346-3606
Fax
(904) 346-0113
NPI assigned
Jan 4, 2006
Last updated
Jul 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0081335 FL Primary

Addresses

Primary practice location

3625 University Blvd S
Emergency Department
Jacksonville, FL 32216-4207

Mailing address

PO Box 860554
Orlando, FL 32886-0554
Phone (904) 346-3606

Other identifiers 2

IdentifierTypeStateIssuer
01161OtherFLBCBS
P00082009OtherFLRRMCR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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
I20040407001678 FL Practitioner - Family PracticePractitioner - Emergency Medicine 3476546078 Reassigns benefits to 2 organizations
I20180810003016 GA Practitioner - Family PracticePractitioner - Emergency Medicine 3476546078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

922 E Call St Starke
North Florida Regional Emergency
Starke, FL 32091-3616
Phone (904) 368-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0081335FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Ridgewood Emergency Group, LLC CurrentSince Apr 30, 2020 Accepting new patients
Ridgewood Emergency Group, LLC CurrentSince Apr 30, 2020 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Dec 1, 2019 Accepting new patients
Florida Em-I Medical Services, PA Past Accepting new patients
Starke Hma Medical Group LLC Family Medicine Past Accepting new patients
Shands Teaching Hospital and Clinics Inc Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

922 E Call St
Starke, FL 32091
Phone (904) 368-2300

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

17430 Bali Blvd
Winter Garden, FL 34787
Phone (863) 419-2496

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 8

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 1

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1801874490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860554",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328860554",
            "telephone_number": "904-346-3606",
            "fax_number": "904-346-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 UNIVERSITY BLVD S",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164207",
            "telephone_number": "904-346-3606",
            "fax_number": "904-346-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALZATE",
        "first_name": "ALBERTO",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0081335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01161",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P00082009",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.