Ronaldo V Dejesus, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00018352 Issued in AL

Practice address

41 Cambridge Court
Wetumpka, AL 36093

Phone

(334) 567-5626

Fax

(334) 567-0855

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospitalist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southerncare New Beacon N Birmingham Hospice, Birmingham, AL, CCN 011501
• Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024

Merit-based Incentive Payment System (MIPS)

Final score

34.64 of 100Reported as individual

Quality

30

Improvement activities

0

Cost

58.78

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Jackson Hospital and Clinic, Inc.

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1073264107

  AL, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Wetumpka Hospitalists, P.C.

  • Hospitalist Physician
  • Wetumpka, AL
  • NPI 1235327503

  AL

  Medicare reassignment NPD Authorized official
• Jackson Hospital & Clinic, Inc.

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1043262488
  Care Compare group NPD (past)
• Jackson Hospital & Clinic, Inc.

  • Community/Retail Pharmacy
  • Prattville, AL
  • NPI 1376137984
  Care Compare group
• Jackson Hospital & Clinic, Inc.

  • Pharmacy
  • Montgomery, AL
  • NPI 1467116137
  Care Compare group
• Jackson Hospital and Clinic, Inc

  • Family Medicine Physician
  • Deatsville, AL
  • NPI 1215519418
  Care Compare group
• Jackson Hospital & Clinic, Inc.

  • Physical Therapist
  • Montgomery, AL
  • NPI 1265325823
  NPD
• Jackson Hospital and Clinic, Inc.

  • Hospitalist Physician
  • Montgomery, AL
  • NPI 1306229190
  NPD
• Apogee Medical Group Alabama Inc

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1114974631

  Internal Medicine

  NPD (past)

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

• Jackson Hospital & Clinic, Inc.

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1043262488

  Hospital

  Care Compare affiliation
• New Beacon Healthcare Group, LLC

  • Community Based Hospice Care Agency
  • Birmingham, AL
  • NPI 1770512741

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1962552448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CAMBRIDGE COURT",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "36093",
            "telephone_number": "334-567-5626",
            "fax_number": "334-567-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CAMBRIDGE COURT",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "36093",
            "telephone_number": "334-567-5626",
            "fax_number": "334-567-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "RONALDO",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00018352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051553029",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51553029",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer J Coleman Sr., MD
• Gregory Eudell Crane, RPH
• Emily Ann Cumbie
• Kailey Davis, NP
• Deborah Dorris LPC LLC
• Deborah Dorris, LPC
• Kelsey Douglas
• Drayer Physical Therapy Alabama LLC
• Lakristie Echols, LMFTA
• Brianna Hunter Eller, ED. S., LPC

• All providers in Wetumpka, AL
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.