Active NPI
Jonathan Paul Clarke, M.D.
- Internal Medicine Physician
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- LP02944
- Practice address
- 525 Technology Park Ste 109
Lake Mary, FL 32746-7107 - Phone
- (407) 647-2346
- Fax
- (407) 647-5431
- NPI assigned
- Jul 16, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LP02944 | RI | Primary |
Addresses
Primary practice location
525 Technology Park Ste 109
Lake Mary, FL 32746-7107
Mailing address
525 Technology Park Ste 109
Lake Mary, FL 32746-7107
Phone (407) 647-2346
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 Technology Park
Suite 109
Lake Mary, FL 32746-7107
Phone 4076472346111
917 Rinehart Rd
Suite 1051
Lake Mary, FL 32746-4853
Phone (407) 647-2346
Hospital & facility affiliations
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.42 of 100
- Quality
- 55.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP02944 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Pensacola LLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Pensacola LLC | Internal Medicine | Current | Accepting new patients |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Central Florida Inpatient Medicine LLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Pensacola LLC | Internal Medicine | Current | Accepting new patients |
Locations
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
917 Rinehart Rd
Ste 1051
Lake Mary, FL 32746
Phone (407) 562-9170
525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111
601 E Rollins St
Ste 400
Orlando, FL 32803
Phone (407) 228-6573
Interoperability endpoints
- jclarke25783@orlandohealth.medalliesdirect.net
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Lake Mary, FL
- NPI 1649228859
-
- Hospitalist Physician
- Lake Mary, FL
- NPI 1679817134
-
- Internal Medicine Physician
- Jacksonville Beach, FL
- NPI 1346287182
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1144803214
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1427631696
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1942641121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 TECHNOLOGY PARK STE 109",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327467107",
"telephone_number": "407-647-2346",
"fax_number": "407-647-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 TECHNOLOGY PARK STE 109",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327467107",
"telephone_number": "407-647-2346",
"fax_number": "407-647-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "JONATHAN",
"middle_name": "PAUL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-16",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP02944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.