Individual provider Active NPI

Alfredo Rafael Lindo, MD

  • Internal Medicine Physician
  • Weeki Wachee, FL
National Provider Identifier
1891257002
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME156249 Issued in FL
Practice address
10045 Cortez Blvd Ste 154
Weeki Wachee, FL 34613-6332
Phone
(352) 596-6114
Fax
(352) 596-0784
NPI assigned
Apr 5, 2019
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X ME156249 FL Primary

Addresses

Primary practice location

10045 Cortez Blvd Ste 154
Weeki Wachee, FL 34613-6332

Mailing address

10045 Cortez Blvd Ste 154
Weeki Wachee, FL 34613-6332
Phone (352) 596-6114

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
I20220706003934 FL Practitioner - Internal Medicine 6901286061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lindo Medical Care LLCGroup PAC ID 5799877619, 3 clinicians

Practice addresses (Care Compare)

6463 Oregon Jay Rd
Weeki Wachee, FL 34613-6311
Phone (352) 596-6114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME156249FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lindo Medical Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Myriad Health Management, LLC CurrentSince Sep 1, 2023 Accepting new patients
Access Health Care LLC PastSince Jul 3, 2022 Accepting new patients

Locations

12587 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 596-6114

14690 Spring Hill Dr
Ste 101
Spring Hill, FL 34609

4301 Lamson Ave
Spring Hill, FL 34608
Phone (352) 691-5070

10045 Cortez Blvd
Ste 154
Weeki Wachee, FL 34613
Phone (352) 596-6114

6463 Oregon Jay Rd
Weeki Wachee, FL 34613
Phone (352) 596-6114

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JICADA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1891257002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10045 CORTEZ BLVD STE 154",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136332",
            "telephone_number": "352-596-6114",
            "fax_number": "352-596-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 CORTEZ BLVD STE 154",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136332",
            "telephone_number": "352-596-6114",
            "fax_number": "352-596-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDO",
        "first_name": "ALFREDO",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME156249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weeki Wachee, FL

Sources for this page

Verify at the official NPI Registry.