Individual provider Active NPI

Jimena Amparo Blandon, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1922319003
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME119287 Issued in FL
Practice address
13500 N Kendall Dr
Suite 131
Miami, FL 33186-1515
Phone
(305) 388-5222
Fax
(305) 388-5660
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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 ME119287 FL Primary
Nephrology Physician 207RN0300X ME119287 FL

Addresses

Primary practice location

13500 N Kendall Dr
Suite 131
Miami, FL 33186-1515

Mailing address

975 Baptist Way
Homestead, FL 33033-7600
Phone (786) 243-8073

Other identifiers 1

IdentifierTypeStateIssuer
UPIN FL0017827-A150OtherFLFLORIDA STATE OF HEALTH

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
I20150803002373 FL Practitioner - Internal MedicinePractitioner - Nephrology 7113231218 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Miami Inpatient PhysiciansGroup PAC ID 2567429483, 88 clinicians

Practice addresses (Care Compare)

975 Baptist Way
Homestead, FL 33033-7600
Phone (786) 662-5465

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Docs PC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
South Miami Inpatient Physicians Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Cape Coral Hospitalists Inc Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients
QMC LLC PastSince Feb 1, 2021 Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

9500 NW 58th St
Doral, FL 33178
Phone (786) 595-3600

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

6200 SW 73rd St
#69
South Miami, FL 33143
Phone (786) 662-4000

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

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 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": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1922319003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600",
            "telephone_number": "786-243-8073",
            "fax_number": "786-243-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 N KENDALL DR",
            "address_2": "SUITE 131",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861515",
            "telephone_number": "305-388-5222",
            "fax_number": "305-388-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANDON",
        "first_name": "JIMENA",
        "middle_name": "AMPARO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME119287",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME119287",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE OF HEALTH",
            "identifier": "UPIN FL0017827-A150",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.