Active NPI
Jose A Chamorro, MD
- Urology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME 45485
- Practice address
- 2601 SW 37TH Ave
Ste 503
Miami, FL 33133-2700 - Phone
- (305) 446-2380
- Fax
- (305) 446-8243
- NPI assigned
- Feb 6, 2006
- Last updated
- Nov 10, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME 45485 | FL | Primary |
Addresses
Primary practice location
2601 SW 37TH Ave
Ste 503
Miami, FL 33133-2700
Mailing address
2234 Colonial Blvd
Attn: Payer Contracting & Relations Dept.
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01551 | Other | FL | FREEDOM |
| 218108 | Other | FL | AVMED |
| 001896 | Other | FL | NHP |
| 96934 | Other | FL | BLUE CROSS BLUE SHIELD |
| 043415900 | Medicaid | FL | |
| 4072662 | Other | FL | AETNA |
| 96934 | Other | FL | BCBS |
| 160364 | Other | FL | WELLCARE |
| 1896 | Other | FL | DIMENSION |
| 1744855 | Other | FL | CIGNA |
| P974912 | Other | FL | OPTIMUM |
| P01627843 | Other | FL | RR MEDICARE |
| P01703687 | Other | FL | SIMPLY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21150 Biscayne Blvd
Suite 104
Aventura, FL 33180-1231
Phone (305) 535-2170
2601 SW 37 Ave
Miami, FL 33133-2751
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 45485 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Genesiscare USA of Florida LLC | Urology | Past | Accepting new patients |
Locations
2160 Colonial Blvd
Fort Myers, FL 33907
2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212
21150 Biscayne Blvd
Ste 104
Miami, FL 33180
Phone (305) 535-2170
2601 SW 37th Ave
Ste 503
Miami, FL 33133
Phone (305) 202-1420
2601 SW 37th Ave
Ste 804
Miami, FL 33133
Phone (305) 306-9470
730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119
3343 S State Road 7
Wellington, FL 33449
Phone (561) 795-8945
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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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": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1861464562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"address_2": "ATTN: PAYER CONTRACTING & RELATIONS DEPT.",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 SW 37TH AVE",
"address_2": "STE 503",
"city": "MIAMI",
"state": "FL",
"postal_code": "331332700",
"telephone_number": "305-446-2380",
"fax_number": "305-446-8243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMORRO",
"first_name": "JOSE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME 45485",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM",
"identifier": "P01551",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "218108",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "001896",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "96934",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043415900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4072662",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "96934",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "160364",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIMENSION",
"identifier": "1896",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1744855",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM",
"identifier": "P974912",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01627843",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIMPLY",
"identifier": "P01703687",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.