Individual provider Active NPI

Jason Rodriguez Guevara, M.D.

  • Family Medicine Physician
  • Winter Springs, FL
National Provider Identifier
1922339274
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME106413 Issued in FL
Practice address
1301 Sundial PT
Winter Springs, FL 32708-6622
Phone
(407) 699-6009
Fax
(407) 699-6008
NPI assigned
Jan 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME106413 FL Primary

Addresses

Primary practice location

1301 Sundial PT
Winter Springs, FL 32708-6622

Mailing address

1301 Sundial PT
Winter Springs, FL 32708-6622
Phone (407) 699-6009

Other identifiers 1

IdentifierTypeStateIssuer
002614200MedicaidFL

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
I20100728000376 FL Practitioner - Family Practice 5698808616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

7242 W Colonial Dr
Optum West Colonial
Orlando, FL 32818-6749
Phone (407) 296-2273

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME106413FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida LLC Family Medicine CurrentSince Mar 14, 2016 Accepting new patients
Optumcare Florida, LLC CurrentSince Mar 14, 2016 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

7242 W Colonial Dr
Orlando, FL 32818
Phone (407) 296-2273

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

1301 Sundial Pt
Winter Springs, FL 32708
Phone (407) 699-6009

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jason.guevara@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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 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": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1922339274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SUNDIAL PT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086622",
            "telephone_number": "407-699-6009",
            "fax_number": "407-699-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SUNDIAL PT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086622",
            "telephone_number": "407-699-6009",
            "fax_number": "407-699-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "JASON",
        "middle_name": "RODRIGUEZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-27",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME106413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002614200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

Verify at the official NPI Registry.