Organization Active NPI

The Villages Internal Medicine and Geriatrics

  • Clinic/Center
  • Lady Lake, FL
National Provider Identifier
1881609311
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE VILLAGES INTERNAL MEDICINE AND GERIATRICS
Practice address
13953 NE 86TH Terrace
Suite 100
Lady Lake, FL 32159
Phone
(352) 259-0238
Fax
(352) 750-0831
NPI assigned
Jul 31, 2006
Last updated
Apr 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Dr. Jane Zhan Cai, MDNPI 1437164944
Title
President
Phone
(352) 259-0238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X FL Primary

Addresses

Primary practice location

13953 NE 86TH Terrace
Suite 100
Lady Lake, FL 32159

Mailing address

PO Box 950627
Lake Mary, FL 32795-0627
Phone (352) 259-0238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050131000495 FL Part B Supplier - Clinic/Group Practice 8224088919 Receives reassigned benefits from 1 practitioner
Practice locations: Lady Lake, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1007942Villages Internal Medical & Geriatrics , the13953 NE 86TH Terr, Ste 100, Lady Lake, FL 32159Certificate of waiverJan 6, 2027

National Provider Directory

National Provider Directory

Locations

1400 N US Highway 441
Ste 924
The Villages, FL 32159
Phone (352) 633-8319

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1881609311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950627",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327950627",
            "telephone_number": "352-259-0238",
            "fax_number": "352-750-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13953 NE 86TH TERRACE",
            "address_2": "SUITE 100",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-259-0238",
            "fax_number": "352-750-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGES INTERNAL MEDICINE AND GERIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "CAI",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ZHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-259-0238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.