Individual provider Active NPI

Jose Xavier Pluguez, MD

  • General Practice Physician
  • Davenport, FL
National Provider Identifier
1922158476
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1414 Issued in FL
Practice address
106 Park Place Blvd Ste C
Davenport, FL 33837-6868
Phone
(863) 588-4775
Fax
(863) 422-7664
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ACN1414 FL
General Practice Physician 208D00000X ACN1414 FL Primary

Addresses

Primary practice location

106 Park Place Blvd Ste C
Davenport, FL 33837-6868

Mailing address

PO Box 878
Davenport, FL 33836-0878
Phone (689) 223-3898

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
I20220708003508 FL Practitioner - General Practice 9335033372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soni Family Practice PLLCGroup PAC ID 8224274840, 11 clinicians

Practice addresses (Care Compare)

106 Park Place Blvd
Suite C
Davenport, FL 33837-6868
Phone (863) 588-4775

Hospital & facility affiliations

  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1414FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SFP PC Holdings, Inc. CurrentSince Jun 15, 2025 Accepting new patients
Soni Family Practice, PLLC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients

Locations

221 N Highway 27
Unit G
Clermont, FL 34711
Phone (352) 242-5155

17075 Cagan Ridge Blvd
Clermont, FL 34714

17075 Cagan Ridge Blvd
Ste 100
Clermont, FL 34714

106 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (863) 422-7664

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jose.pluguez.1@6807.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1922158476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338360878",
            "telephone_number": "689-223-3898",
            "fax_number": "689-223-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PARK PLACE BLVD STE C",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376868",
            "telephone_number": "863-588-4775",
            "fax_number": "863-422-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUGUEZ",
        "first_name": "JOSE",
        "middle_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN1414",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.