Individual provider Active NPI

Jose Gustavo Cevallos Yepez, M.D.

  • Internal Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1922236736
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME114288 Issued in FL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ME114288OtherFLFLORIDA MEDICAL LICENSE
U5083OtherTXTEXAS MEDICAL LICENSE
011046600MedicaidFL

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
I20131107000497 FL Practitioner - Internal Medicine 7719112382 Reassigns benefits to 4 organizations

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

LicenseStateTypeSpecialty
ME114288FLMDInternal Medicine Physician
U5083TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blueshine Medical Center LLC CurrentSince May 1, 2025 Accepting new patients
Proactive Medical Group LLC Internal Medicine CurrentSince Jun 8, 2022 Accepting new patients
Infinity Medical Group LLC Internal Medicine CurrentSince Nov 20, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDDCDD/Endpoint/FDDCDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBHCDD/Endpoint/GBHCDD
  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.