Individual provider Active NPI

Casey Jimenez, MD

  • Internal Medicine Physician
  • Winter Garden, FL
National Provider Identifier
1962496505
Registry record updated Mar 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME98158 Issued in FL
Practice address
12323 W Colonial Dr Ste 140
Winter Garden, FL 34787-4178
Phone
(407) 318-7888
Fax
(407) 236-1918
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME98158 FL Primary

Addresses

Primary practice location

12323 W Colonial Dr Ste 140
Winter Garden, FL 34787-4178

Mailing address

12323 W Colonial Dr Ste 140
Winter Garden, FL 34787-4178
Phone (407) 318-7888

Other practice location 1

8342 US Highway 301 N
Parrish, FL 34219-8653
Phone (813) 636-2000

Other identifiers 1

IdentifierTypeStateIssuer
279402100MedicaidFL

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
I20071217000224 FL Practitioner - Internal Medicine 6507956455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Adventhealth Senior Care IncGroup PAC ID 7618397886, 32 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

12323 W Colonial Dr
Suite 140
Winter Garden, FL 34787-4178
Phone (407) 318-7888

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Orlando, FL, CCN 107234
  • Adventhealth Home Health Home health agency, Altamonte Springs, FL, CCN 107211
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98158FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida, LLC CurrentSince Jan 7, 2019 Accepting new patients
Optumcare Florida LLC Internal Medicine CurrentSince Jan 7, 2019 Accepting new patients
Adventhealth Senior Care Inc Internal Medicine CurrentSince Sep 23, 2024 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

290 Clyde Morris Blvd
Ormond Beach, FL 32174
Phone (386) 615-6642

8342 US Highway 301 N
Parrish, FL 34219
Phone (941) 729-4400

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

12323 W Colonial Dr
Ste 140
Winter Garden, FL 34787
Phone (352) 674-5000

Interoperability endpoints

  • Direct secure messaging: cjimenez3445423@adventhealth.direct-ci.com

Organizations & group practices 4

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 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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1962496505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12323 W COLONIAL DR STE 140",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874178",
            "telephone_number": "407-318-7888",
            "fax_number": "407-236-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12323 W COLONIAL DR STE 140",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874178",
            "telephone_number": "407-318-7888",
            "fax_number": "407-236-1918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8342 US Highway 301 N",
            "address_purpose": "LOCATION",
            "city": "Parrish",
            "state": "FL",
            "postal_code": "342198653",
            "country_code": "US",
            "telephone_number": "813-636-2000",
            "fax_number": "813-286-8835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME98158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279402100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.