Individual provider Active NPI

Jamie Andre, MD

  • Nephrology Physician
  • Fort Pierce, FL
National Provider Identifier
1962665638
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME110090 Issued in FL
Practice address
2000 Hartman Rd
Fort Pierce, FL 34947-4408
Phone
(772) 465-1170
Fax
(772) 465-1175
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 251189 NY
Internal Medicine Physician 207R00000X 25MA09228600 NJ
Internal Medicine Physician 207R00000X 53493 TN
Internal Medicine Physician 207R00000X ME110090 FL
Internal Medicine Physician 207R00000X ME127673 FL
Nephrology Physician 207RN0300X ME127673 FL
Nephrology Physician 207RN0300X 25MA09228600 NJ
Nephrology Physician 207RN0300X 251189 NY
Hospitalist Physician 208M00000X ME127673 FL
Nephrology Physician 207RN0300X ME110090 FL Primary

Addresses

Primary practice location

2000 Hartman Rd
Fort Pierce, FL 34947-4408

Mailing address

2000 Hartman Rd
Fort Pierce, FL 34947-4408
Phone (772) 465-1170

Other practice location 1

13001 Southern Blvd
Loxahatchee, FL 33470-9203
Phone (561) 798-3300

Other practice location 2

1401 SE Goldtree Dr Ste Unitb
Port Saint Lucie, FL 34952-7584
Phone (772) 337-3540

Other practice location 3

2124 Fawns Creek Xing
Mount Juliet, TN 37122-1207
Phone (347) 392-7208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151124000202 TN Practitioner - Internal Medicine 0244497972
I20160726001312 FL Practitioner - Internal MedicinePractitioner - Hospitalist 0244497972 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
State University of New York Downstate Medical Center, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Kidney Partners LLPGroup PAC ID 7012981350, 63 clinicians

Practice addresses (Care Compare)

2000 Hartman Rd
Suite 1
Fort Pierce, FL 34947-4413
Phone (772) 465-1170

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME110090FLMDNephrology Physician
25MA09228600NJMDNephrology Physician
ME127673FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC Internal Medicine CurrentSince Dec 15, 2017 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Dec 15, 2017 Accepting new patients
National Kidney Partners, LLP Nephrology CurrentSince Oct 1, 2022 Accepting new patients
Vivo Healthcare LLC Internal Medicine Current Accepting new patients
Samerah Razuman MD PLLC Nephrology CurrentSince Jan 25, 2019 Accepting new patients

Locations

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

2000 Hartman Rd
Ste 1
Fort Pierce, FL 34947
Phone (772) 465-1170

14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418

107 NE 19th Dr
Okeechobee, FL 34972
Phone (772) 402-3449

300 NW 70th Ave
Ste 302
Plantation, FL 33317
Phone (954) 673-1525

1631 SW Gatlin Blvd
Ste 102
Port Saint Lucie, FL 34953
Phone (772) 465-1170

1401 SE Goldtree Dr
Ste 102
Port St Lucie, FL 34952
Phone (772) 337-3540

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: dchjandre@yourcarecommunity.org
  • Direct secure messaging: jandre80965@direct.acumenmd.com

Organizations & group practices 5

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 8

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1962665638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HARTMAN RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474408",
            "telephone_number": "772-465-1170",
            "fax_number": "772-465-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HARTMAN RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474408",
            "telephone_number": "772-465-1170",
            "fax_number": "772-465-1175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13001 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Loxahatchee",
            "state": "FL",
            "postal_code": "334709203",
            "country_code": "US",
            "telephone_number": "561-798-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 SE Goldtree Dr Ste Unitb",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349527584",
            "country_code": "US",
            "telephone_number": "772-337-3540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2124 Fawns Creek Xing",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "371221207",
            "country_code": "US",
            "telephone_number": "347-392-7208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRE",
        "first_name": "JAMIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "251189",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09228600",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "53493",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME110090",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME127673",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME127673",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA09228600",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "251189",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME127673",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME110090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.