Jay Clyde Koons, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

ME55736 Issued in FL

Practice address

4645 NW 8TH Ave
Interventional Cardiologists of Gainesville
Gainesville, FL 32605-4524

Phone

(352) 331-8570

Fax

(352) 331-9095

NPI assigned

Jun 27, 2006

Last updated

Apr 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

Maryland Medical College, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Interventional Cardiologists of Gainesville, PAGroup PAC ID 8820077241, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204
• HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Interventional Cardiologists of Gainesville, PA

  dba The Cardiac & Vascular Institute

  • Interventional Cardiology Physician
  • Gainesville, FL
  • NPI 1811931629

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Cardiac and Vascular Institute Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Gainesville, FL
  • NPI 1427690775

  Cardiovascular Disease

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Florida Regional Medical Center, Inc.

  dba HCA Florida North Florida Hospital

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1174579155
  Care Compare affiliation
• Notami Hospitals of Florida Inc

  dba HCA Florida Lake City Hospital

  • General Acute Care Hospital
  • Lake City, FL
  • NPI 1992751879
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1942237714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 NW 8TH AVE",
            "address_2": "INTERVENTIONAL CARDIOLOGISTS OF GAINESVILLE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054524",
            "telephone_number": "352-331-8570",
            "fax_number": "352-331-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 NW 8TH AVE",
            "address_2": "INTERVENTIONAL CARDIOLOGISTS OF GAINESVILLE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054524",
            "telephone_number": "352-331-8570",
            "fax_number": "352-331-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONS",
        "first_name": "JAY",
        "middle_name": "CLYDE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME55736",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME55736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CM8550",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377799500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS FL",
            "identifier": "26952",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Konyukhova
• Jiyeon Koo
• Carol C Koogler, R.N.
• Avon Koon
• Lorraine Koon
• Kaylyn Elise Koons, RD, LD
• Crystal Moore Koppal, CCC-SLP
• Scott Koppel, D.P.M.
• Tessy Korah, MD
• Akemi V Korahais, DOM

• Interventional Cardiology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.

Verify at the official NPI Registry.