Active NPI
Wael A Jamaleddine, M.D.
- Family Medicine Physician
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME62749
- Practice address
- 3145 Citrus Tower Blvd Ste B
Clermont, FL 34711-6889 - Phone
- (352) 900-5227
- Fax
- (352) 308-3159
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME62749 | FL | Primary |
Addresses
Primary practice location
3145 Citrus Tower Blvd Ste B
Clermont, FL 34711-6889
Mailing address
33044 Hwy 27
Haines City, FL 33844-7621
Phone (863) 422-4977
Other practice location 1
33044 Hwy 27
Haines City, FL 33844-7621
Phone (863) 422-4977
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080108263 | Other | FL | RAILROAD MEDICARE |
| 6871531 | Other | FL | CIGNA |
| 18170 | Other | FL | BCBS |
| 2519097-00 | Medicaid | FL |
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
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3145 Citrus Tower Blvd
Suite B
Clermont, FL 34711-6889
Phone (770) 312-5226
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Florida, LLC | Current | Accepting new patients | |
| Trinity Medical Physicians, LLC | Family Medicine | Current | Accepting new patients |
Locations
3145 Citrus Tower Blvd
Ste B
Clermont, FL 34711
Phone (352) 900-5227
140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501
3240 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 644-7337
3240 S Florida Ave
Ste 100
Lakeland, FL 33803
Phone (863) 646-4000
989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777
Interoperability endpoints
- wael.jamaleddine.1@8042.direct.athenahealth.com
Organizations & group practices 2
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.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
-
- Family Medicine Physician
- Lakeland, FL
- NPI 1225652878
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Heart of Florida
- General Acute Care Hospital
- Davenport, FL
- NPI 1801457510
-
dba Orlando Health South Lake Hospital
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1972647311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33044 HWY 27",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338447621",
"telephone_number": "863-422-4977",
"fax_number": "863-422-7786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3145 CITRUS TOWER BLVD STE B",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116889",
"telephone_number": "352-900-5227",
"fax_number": "352-308-3159"
}
],
"practiceLocations": [
{
"address_1": "33044 Hwy 27",
"address_purpose": "LOCATION",
"city": "Haines City",
"state": "FL",
"postal_code": "338447621",
"country_code": "US",
"telephone_number": "863-422-4977",
"fax_number": "863-422-7786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMALEDDINE",
"first_name": "WAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME62749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080108263",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6871531",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "18170",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2519097-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.