Individual provider Active NPI

Jesus Fernando Quintero, MD

  • Specialist
  • Ft Lauderdale, FL
National Provider Identifier
1902856438
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0071422 Issued in FL
Practice address
2161 E Commercial Blvd
2ND Floor
Ft Lauderdale, FL 33308-3810
Phone
(954) 491-5187
Fax
(954) 491-5217
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0071422 FL Primary

Addresses

Primary practice location

2161 E Commercial Blvd
2ND Floor
Ft Lauderdale, FL 33308-3810

Mailing address

2161 E Commercial Blvd
2ND Floor
Ft Lauderdale, FL 33308-3810
Phone (954) 491-5187

Other identifiers 1

IdentifierTypeStateIssuer
251708600MedicaidFL

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
I20101116000467 FL Practitioner - Nephrology 4880781780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

12662 Telecom Dr
Temple Terrace, FL 33637-0935
Phone (813) 910-0030

Hospital & facility affiliations

  • DaVita Lighthouse Point Dialysis Dialysis facility, Deerfield Beach, FL, CCN 102670
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086
  • HCA Florida Northwest Hospital Hospital, Margate, FL, CCN 100189
  • University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224
  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276
  • Holy Cross Hospital Inpatient rehabilitation facility, Fort Lauderdale, FL, CCN 10T073

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
70.52
Promoting interoperability
100
Improvement activities
40
Cost
73.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0071422FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians, LLC CurrentSince Nov 1, 2023 Accepting new patients
Florida Kidney Physicians , LLC CurrentSince Nov 1, 2023 Accepting new patients
Nephrology Consultants of South Florida PA Specialist CurrentSince Sep 1, 2010 Accepting new patients

Locations

700 Riverside Dr
Coral Springs, FL 33071
Phone (954) 753-7870

220 SW Natura Ave
Deerfield Beach, FL 33441
Phone (561) 392-2021

14131 Metropolis Ave
Ste 103
Fort Myers, FL 33912
Phone (239) 224-3501

4534 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 493-9774

2161 E Commercial Blvd
Fl 2
Ft Lauderdale, FL 33308
Phone (305) 728-0505

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

700 E Atlantic Blvd
Ste 101
Pompano Beach, FL 33060
Phone (954) 784-6161

7421 N University Dr
Ste 101
Tamarac, FL 33321
Phone (954) 341-1171

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jesus.quintero.1@15644.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1902856438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 E COMMERCIAL BLVD",
            "address_2": "2ND FLOOR",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083810",
            "telephone_number": "954-491-5187",
            "fax_number": "954-491-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 E COMMERCIAL BLVD",
            "address_2": "2ND FLOOR",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083810",
            "telephone_number": "954-491-5187",
            "fax_number": "954-491-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO",
        "first_name": "JESUS",
        "middle_name": "FERNANDO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0071422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251708600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.