Active NPI
Alejandro Paya, D.O.
- Internal Medicine Physician
- Jacksonville, FL
National Provider Identifier
1942407226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS10691
- Practice address
- 820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205 - Phone
- (904) 346-3649
- Fax
- (904) 348-5627
- NPI assigned
- Jun 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS10691 | FL | Primary |
| Internal Medicine Physician | 207R00000X | 2011-01564 | NC |
Addresses
Primary practice location
820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205
Mailing address
PO Box 44004
Jacksonville, FL 32231-4004
Phone (904) 202-1032
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01502900 | Other | FL | RAILROAD MEDICARE |
| 015018200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS10691 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NC Comprehensive Hospitalists PLLC | Past | Accepting new patients | |
| Louisburg Hospitalists, PLLC | Past | Accepting new patients |
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.
-
- Hospitalist Physician
- Louisburg, NC
- NPI 1538448691
-
- Hospitalist Physician
- Smithfield, NC
- NPI 1023310257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447632000000",
"number": "1942407226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44004",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322314004",
"telephone_number": "904-202-1032",
"fax_number": "904-348-5627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 PRUDENTIAL DR STE 304",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078205",
"telephone_number": "904-346-3649",
"fax_number": "904-348-5627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYA",
"first_name": "ALEJANDRO",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2015-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS10691",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2011-01564",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01502900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015018200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.