Jose Erbella Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME84834 Issued in FL

Practice address

250 2ND St E
Suite 1a
Bradenton, FL 34208-1029

Phone

(941) 896-4788

Fax

(941) 896-4791

NPI assigned

Sep 19, 2005

Last updated

Jan 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Electronic endpoints 1

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

Specialty

General SurgeryAlso: Surgical Oncology

Education

University of Miami, LM Miller School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manatee Specialty Physician Alliance LLCGroup PAC ID 8921473927, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Haven Home Health Care Home health agency, Riverview, FL, CCN 687113
• Haven Home Health Care Home health agency, Venice, FL, CCN 687116
• Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: jose.erbella@hca4.eclinicaldirectplus.com

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.

• Manatee Specialty Physician Alliance, LLC

  • Orthopaedic Surgery Physician
  • Bradenton, FL
  • NPI 1881304624
  Medicare reassignment Care Compare group NPD
• Manatee Memorial Hospital L P

  dba Manatee Memorial Hospital

  • Other Specialist/Technologist
  • Bradenton, FL
  • NPI 1770505687
  Medicare reassignment NPD
• Manatee Memorial Hospital L P

  dba Manatee Diagnostic Center

  • Radiology Clinic/Center
  • Bradenton, FL
  • NPI 1558020552
  NPD
• Manatee Memorial Hospital LP

  dba Manatee Diagnostic Center

  • Body Imaging Physician
  • Bradenton, FL
  • NPI 1821458829
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Manatee Memorial Hospital L P

  dba Manatee Memorial Hospital

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1760472799
  Care Compare affiliation
• MHC Area 6, LLC

  dba Choice Health at Home

  • Home Health Agency
  • Riverview, FL
  • NPI 1932661725
  Care Compare affiliation
• MHC Area 8, LLC

  dba Choice Health at Home

  • Home Health Agency
  • Venice, FL
  • NPI 1518429166
  Care Compare affiliation

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1902891617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 2ND ST E",
            "address_2": "SUITE 1A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081029",
            "telephone_number": "941-896-4788",
            "fax_number": "941-896-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 2ND ST E",
            "address_2": "SUITE 1A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081029",
            "telephone_number": "941-896-4788",
            "fax_number": "941-896-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERBELLA",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME84834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6433980",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "668764",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7446649",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00266888",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "030480068003",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL HEALTHEASE WELLC",
            "identifier": "N347764",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272589400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "90192",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01544",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOSE.ERBELLA@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "250 2nd St E",
            "address_2": "SUITE 1A",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342081029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Louis Ennis, A.T.,C.
• Marla Entelisano, COTA/L
• Elodie Chimuanya Epane Kamdem, DDS
• Madeline Epstein, PA-C
• Jill Holly Erbella, PA
• Alyssa Erickson, APRN
• Bengt Ericsson, B.C.-H.I.S.
• Tara Eriksen, OTR
• Erin C Morales LLC
• Ervin E. Bernotus MD, P.a.

• Surgery Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.

Verify at the official NPI Registry.