Individual provider Active NPI

Jorge L Malouf, DO

  • Ophthalmology Physician
  • Tampa, FL
National Provider Identifier
1922466671
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS17305 Issued in FL
Practice address
6912 W Linebaugh Ave Ste 102
Tampa, FL 33625-5818
Phone
(813) 798-2020
Fax
(813) 798-3390
NPI assigned
Feb 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 6869 OK
Ophthalmology Physician 207W00000X OS17305 FL Primary

Addresses

Primary practice location

6912 W Linebaugh Ave Ste 102
Tampa, FL 33625-5818

Mailing address

6912 W Linebaugh Ave Ste 102
Tampa, FL 33625-5818
Phone (813) 798-2020

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
I20210525002029 FL Practitioner - Ophthalmology 1658665187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6912 W Linebaugh Ave
Suite 102
Tampa, FL 33625-5818
Phone (813) 798-2020

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6869OKMDDentist
OS17305FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Eye Care and Aesthetics LLC Ophthalmology CurrentSince Dec 12, 2022 Accepting new patients
Kyle Linsey DO PA Ophthalmology CurrentSince Nov 1, 2021 Accepting new patients

Locations

610 Lakeview Rd
Clearwater, FL 33756
Phone (727) 442-5114

6912 W Linebaugh Ave
Ste 102
Tampa, FL 33625
Phone (813) 798-2020

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jmalouf@geca.intellechartdirect.net

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": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1922466671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 W LINEBAUGH AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255818",
            "telephone_number": "813-798-2020",
            "fax_number": "813-798-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 W LINEBAUGH AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255818",
            "telephone_number": "813-798-2020",
            "fax_number": "813-798-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOUF",
        "first_name": "JORGE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-09",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "6869",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS17305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.