Individual provider Active NPI

Jorge Tony Cisneros, M.D

  • Internal Medicine Physician
  • Spring Hill, FL
National Provider Identifier
1861431447
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME69642 Issued in FL
Practice address
7056 Mariner Blvd
Spring Hill, FL 34609-1000
Phone
(352) 597-5557
Fax
(352) 597-0552
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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 ME69642 FL Primary

Addresses

Primary practice location

7056 Mariner Blvd
Spring Hill, FL 34609-1000

Mailing address

9921 Cypress Shadow Ave
Tampa, FL 33647-1857
Phone (813) 972-2000

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
I20070122000367 FL Practitioner - Internal Medicine 4385645167 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Verimed Health Group Mariner, LLC CurrentSince Aug 29, 2018 Accepting new patients
Verimed Health Group Land O' Lakes, LLC CurrentSince Dec 1, 2021 Accepting new patients
March,Katz,Rodriguez,MD'S,PA Internal Medicine Current Accepting new patients
Verimed Health Group Zephyrhills LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

2674 Stonewood Park Loop
Land O Lakes, FL 34638
Phone (813) 909-0760

2638 Narnia Way
Unit 101
Land O Lakes, FL 34638
Phone (813) 528-8000

7064 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 597-4631

37900 Daughtery Rd
Ste 1
Zephyrhills, FL 33541
Phone (813) 715-4446

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1861431447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 CYPRESS SHADOW AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471857",
            "telephone_number": "813-972-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7056 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091000",
            "telephone_number": "352-597-5557",
            "fax_number": "352-597-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "JORGE",
        "middle_name": "TONY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME69642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.