Individual provider Active NPI

Alvaro Cornejo Cobo, M.D.

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1851836571
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME139832 Issued in FL
Practice address
3333 Cattlemen Rd Ste 208
Sarasota, FL 34232-6058
Phone
(941) 379-5121
Fax
(941) 379-4239
NPI assigned
Jan 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME139832 FL Primary

Addresses

Primary practice location

3333 Cattlemen Rd Ste 208
Sarasota, FL 34232-6058

Mailing address

3333 Cattlemen Rd Ste 208
Sarasota, FL 34232-6058
Phone (941) 379-5121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Alvaro.CornejoCobo@img.directbygreenway.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190520000162 FL Practitioner - Internal Medicine 3779826573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayo Clinic JacksonvilleGroup PAC ID 5698689297, 1,595 clinicians

Practice addresses (Care Compare)

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Jacksonville CurrentSince Oct 25, 2024 Accepting new patients
Intercoastal Medical Group Inc Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Mayo Clinic Jacksonville CurrentSince Oct 25, 2024 Accepting new patients

Locations

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

3333 Cattlemen Rd
Ste 208
Sarasota, FL 34232
Phone (941) 379-5121

Interoperability endpoints

  • Direct secure messaging: alvaro.cornejocobo@img.directbygreenway.com
  • Direct secure messaging: acornejocobo2400111@ehrdirect.mayoclinicmsg.org

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 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": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1851836571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CATTLEMEN RD STE 208",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326058",
            "telephone_number": "941-379-5121",
            "fax_number": "941-379-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CATTLEMEN RD STE 208",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326058",
            "telephone_number": "941-379-5121",
            "fax_number": "941-379-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNEJO COBO",
        "first_name": "ALVARO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-04",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME139832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alvaro.CornejoCobo@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3333 Cattlemen Rd Ste 208",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342326058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.