NPIMap

Individual provider Active NPI

Irene M Estores, MD

  • Physical Medicine & Rehabilitation Physician
  • Gainesville, FL
National Provider Identifier
1841221330
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME78535 Issued in FL
Practice address
1600 SW Archer Rd
Shands Hospital, Room 4123
Gainesville, FL 32610-0277
Phone
(352) 265-0651
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME78535 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Shands Hospital, Room 4123
Gainesville, FL 32610-0277

Mailing address

1600 SW Archer Rd
Shands Hospital, Room 4123
Gainesville, FL 32610-0277

Other identifiers 1

IdentifierTypeStateIssuer
009096200MedicaidFL

Other names 1

  • Dr. Irene Ly Mison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130709000118 FL Practitioner - Physical Medicine and Rehabilitation 8224278643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 SW Archer Rd
Occupational Medicine at Shands Uf
Gainesville, FL 32610-0148
Phone (352) 294-5700

Hospital & facility affiliations

  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Aug 1, 2013 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 1, 2013 Accepting new patients
University of Miami Physical Medicine & Rehabilitation Past Accepting new patients

Locations

4197 NW 86th Ter
Gainesville, FL 32606
Phone (352) 265-5404

4197 NW 86th Ter
Fl 1
Gainesville, FL 32606
Phone (352) 265-0007

1600 SW Archer Rd
Rm 4123
Gainesville, FL 32610
Phone (352) 265-0651

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: iestores123155@direct.shands.ufl.edu

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1841221330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "SHANDS HOSPITAL, ROOM 4123",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "SHANDS HOSPITAL, ROOM 4123",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100277",
            "telephone_number": "352-265-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTORES",
        "first_name": "IRENE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME78535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009096200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "MISON",
            "middle_name": "LY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.