Active NPI
Jose Gustavo Cevallos Yepez, M.D.
- Internal Medicine Physician
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME114288
- Practice address
- 5353 N Federal Hwy Ste 400
Cape Coral, FL 33904 - Phone
- (239) 460-4494
- NPI assigned
- Jun 30, 2009
- Last updated
- Aug 3, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | U5083 | TX | |
| Internal Medicine Physician | 207R00000X | ME114288 | FL | Primary |
Addresses
Primary practice location
5353 N Federal Hwy Ste 400
Cape Coral, FL 33904
Mailing address
1216 Lafayette St
Cape Coral, FL 33904-9730
Phone (239) 486-4494
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME114288 | Other | FL | FLORIDA MEDICAL LICENSE |
| U5083 | Other | TX | TEXAS MEDICAL LICENSE |
| 011046600 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
104 SW 34TH PL
Cape Coral, FL 33991-7665
Phone (305) 790-6544
140 Santa Barbara Blvd
Suite 122
Cape Coral, FL 33991-2160
Phone (239) 212-1919
15643 Cypress Park Dr
Wellington, FL 33414-6341
5353 N Federal Hwy
Suite 406
Fort Lauderdale, FL 33308-3244
Phone (954) 938-2843
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME114288 | FL | MD | Internal Medicine Physician |
| U5083 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blueshine Medical Center LLC | Current | Accepting new patients | |
| Proactive Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Infinity Medical Group LLC | Internal Medicine | Current | Accepting new patients |
Locations
1216 Lafayette St
Cape Coral, FL 33904
Phone (305) 790-6544
140 Santa Barbara Blvd
Ste 122
Cape Coral, FL 33991
Phone (239) 212-1919
5353 N Federal Hwy
Ste 406
Fort Lauderdale, FL 33308
Phone (954) 938-2843
5353 N Federal Hwy
Ste 400
Ft Lauderdale, FL 33308
Phone (954) 489-9800
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDDCDD/Endpoint/FDDCDD
- https://fhir4.healow.com/fhir/r4/GBHCDD/Endpoint/GBHCDD
- https://fhir4.healow.com/fhir/r4/GEHIDD/Endpoint/GEHIDD
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Cape Coral, FL
- NPI 1679433932
-
- General Practice Physician
- Cape Coral, FL
- NPI 1053138099
-
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1225765241
-
- Early Intervention Provider Agency
- Wellington, FL
- NPI 1649727074
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Attendant Care Provider
- Pembroke Pines, FL
- NPI 1619725942
Home health agency
-
- Home Health Agency
- Lake Worth, FL
- NPI 1043809486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1922236736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 LAFAYETTE ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339049730",
"telephone_number": "239-486-4494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 N FEDERAL HWY STE 400",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "33904",
"telephone_number": "239-460-4494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEVALLOS YEPEZ",
"first_name": "JOSE",
"middle_name": "GUSTAVO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-30",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "U5083",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME114288",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MEDICAL LICENSE",
"identifier": "ME114288",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL LICENSE",
"identifier": "U5083",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011046600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.