NPIMap

Individual provider Active NPI

Eric Ordinario, D.O.

  • Urology Physician
  • Lake City, FL
National Provider Identifier
1871545301
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
OS7652 Issued in FL
Practice address
4601 W US Highway 90
Lake City, FL 32055-4880
Phone
(386) 752-4189
Fax
(386) 752-4213
NPI assigned
May 16, 2006
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X OS7652 FL Primary

Addresses

Primary practice location

4601 W US Highway 90
Lake City, FL 32055-4880

Mailing address

4601 W US Highway 90
Lake City, FL 32055-4880
Phone (386) 752-4189

Other identifiers 1

IdentifierTypeStateIssuer
256141700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090615000625 FL Practitioner - Urology 0042360901 Reassigns benefits to 2 organizations
I20200217004100 GA Practitioner - Urology 0042360901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ackerman Cancer Center PAGroup PAC ID 3779541362, 10 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Floyd Physicians LLCGroup PAC ID 6406852375, 62 clinicians

Practice addresses (Care Compare)

1340 S 18TH St
Suite 103
Fernandina Beach, FL 32034-4733
Phone (904) 277-2700

1510 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 845-3905

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 880-7222

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

601 S 8TH St
Griffin, GA 30224-4213
Phone (770) 228-2721

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.96 of 100Reported as group
Improvement activities
40
Cost
99.92

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Apr 15, 2022 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Ackerman Cancer Center, PA Urology CurrentSince Oct 1, 2019 Accepting new patients
Cancer Care of North Florida PA CurrentSince Jun 2, 2024 Accepting new patients
Ackerman Cancer Center, PA CurrentSince Oct 1, 2019 Accepting new patients
Floyd Physicians, LLC Urology CurrentSince Oct 1, 2020 Accepting new patients
Ackerman Cancer Center, PA Urology Past Accepting new patients
Ackerman Cancer Center, PA Urology Past Accepting new patients
Ackerman Cancer Center, PA Urology Past Accepting new patients

Locations

1340 S 18th St
Ste 103
Fernandina Beach, FL 32034
Phone (904) 277-2700

10232 San Jose Blvd
Jacksonville, FL 32257
Phone (904) 292-3700

10881 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 260-3022

13155 Atlantic Blvd
Jacksonville, FL 32225
Phone (904) 221-2222

2 Shircliff Way
Jacksonville, FL 32204
Phone (904) 308-7411

289 SW Stonegate Ter
Ste 103
Lake City, FL 32024
Phone (386) 755-1655

4520 W US Highway 90
Lake City, FL 32055
Phone (386) 755-0601

3839 County Road 218
Middleburg, FL 32068
Phone (904) 282-5474

533 W Twincourt Trl
Ste 701
St Augustine, FL 32095
Phone (904) 399-0667

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

Interoperability endpoints

  • Direct secure messaging: eordinario@umi-fl.direct.office.nextgen.com

Organizations & group practices 10

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 5

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1871545301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 W US HIGHWAY 90",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554880",
            "telephone_number": "386-752-4189",
            "fax_number": "386-752-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 W US HIGHWAY 90",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554880",
            "telephone_number": "386-752-4189",
            "fax_number": "386-752-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORDINARIO",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "OS7652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256141700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.