NPIMap

Individual provider Active NPI

Alexis A Jimenez, MD

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1942441746
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME105097 Issued in FL
Practice address
4796 Hodges Blvd
Suite 101
Jacksonville, FL 32224
Phone
(904) 449-7246
Fax
(904) 719-7571
NPI assigned
Mar 9, 2009
Last updated
Sep 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME105097 FL
Interventional Pain Medicine Physician 208VP0014X ME105097 FL Primary

Addresses

Primary practice location

4796 Hodges Blvd
Suite 101
Jacksonville, FL 32224

Mailing address

PO Box 734905
Dallas, TX 75373-4905
Phone (904) 449-7246

Other practice location 1

2386 Dunn Ave Ste 111
Jacksonville, FL 32218-4751
Phone (904) 449-7246

Other identifiers 1

IdentifierTypeStateIssuer
009558100MedicaidFL

Other names 1

  • Dr. Alexis A Jimenez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100222000625 FL Practitioner - Interventional Pain ManagementPractitioner - General Surgery 5597809079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2386 Dunn Ave
Suite 111
Jacksonville, FL 32218-4751
Phone (904) 449-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105097FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Florida Anesthesia Services PLLC CurrentSince Oct 1, 2018 Accepting new patients
Florida Institute of Pain Medicine LLC Pain Medicine CurrentSince Aug 6, 2018 Accepting new patients
Florida Institute of Pain Medicine LLC Pain Medicine CurrentSince Aug 6, 2018 Accepting new patients
Surgery Center Operations, LLC CurrentSince Jul 1, 2020 Accepting new patients
Riverside Anesthesia Services, LLC Past Accepting new patients
Tampa Pain Relief Center, Inc. Past Accepting new patients

Locations

2386 Dunn Ave
Ste 111
Jacksonville, FL 32218
Phone (904) 449-7246

4796 Hodges Blvd
Ste 101
Jacksonville, FL 32224
Phone (904) 449-7246

4796 Hodges Blvd
Ste 105108
Jacksonville, FL 32224

105 Whitehall Dr
Ste 115
St Augustine, FL 32086
Phone (904) 800-7246

105 Whitehall Dr
Ste 115116
St Augustine, FL 32086
Phone (904) 800-7246

Interoperability endpoints

  • Direct secure messaging: alexis.jimenez@fpain.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1942441746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734905",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734905",
            "telephone_number": "904-449-7246",
            "fax_number": "904-719-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4796 HODGES BLVD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32224",
            "telephone_number": "904-449-7246",
            "fax_number": "904-719-7571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2386 Dunn Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322184751",
            "country_code": "US",
            "telephone_number": "904-449-7246",
            "fax_number": "904-719-7571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ALEXIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME105097",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME105097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009558100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "JIMENEZ",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.