Active NPI
Jose A Pares, MD
- General Practice Physician
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME135563
- Practice address
- 200 E Highland Ave Ste 1
Clermont, FL 34711-2582 - Phone
- (352) 432-8989
- Fax
- (844) 388-6186
- NPI assigned
- May 18, 2007
- Last updated
- Nov 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11522 | PR | |
| General Practice Physician | 208D00000X | ME135563 | FL | Primary |
Addresses
Primary practice location
200 E Highland Ave Ste 1
Clermont, FL 34711-2582
Mailing address
601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243
Other practice location 1
111 Avenue A SE
Winter Haven, FL 33880-6302
Phone (863) 619-5999
Other practice location 2
140 Ave Las Cumbres
Guaynabo, PR 00969-5523
Phone (787) 783-6779
Other practice location 3
3655 Innovation Dr
Lakeland, FL 33812-4106
Phone (863) 619-5999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DP418Z | Other | PR | MEDICARE PTAN |
| 21074 | Other | PR | TRIPLE S |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- University Central del Caribe Escuela de Medicina, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 E Highland Ave
Suite 1
Clermont, FL 34711-2582
Phone (352) 432-8989
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Associates LLC | Current | Accepting new patients |
Locations
200 E Highland Ave
Ste 1
Clermont, FL 34711
Phone (352) 394-3611
13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900
1803 Park Center Dr
Ste 114
Orlando, FL 32835
Phone (321) 558-6467
601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jose.pares@sl.eclinicaldirectplus.com
Organizations & group practices 1
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": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1912115445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S HARBOUR ISLAND BLVD STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025925",
"telephone_number": "800-480-5243",
"fax_number": "800-928-7449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E HIGHLAND AVE STE 1",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347112582",
"telephone_number": "352-432-8989",
"fax_number": "844-388-6186"
}
],
"practiceLocations": [
{
"address_1": "111 Avenue A SE",
"address_purpose": "LOCATION",
"city": "Winter Haven",
"state": "FL",
"postal_code": "338806302",
"country_code": "US",
"telephone_number": "863-619-5999",
"fax_number": "863-619-5995",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 AVE LAS CUMBRES",
"address_purpose": "LOCATION",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009695523",
"country_code": "US",
"telephone_number": "787-783-6779",
"fax_number": "787-783-6779",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3655 Innovation Dr",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338124106",
"country_code": "US",
"telephone_number": "863-619-5999",
"fax_number": "863-619-5995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARES",
"first_name": "JOSE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "11522",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME135563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "DP418Z",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "21074",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.