Jessica Portillo-Romero, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME128743 Issued in FL

Practice address

1600 SW Archer Rd
Gainesville, FL 32610-3003

Phone

(352) 265-0651

Fax

(352) 265-0153

NPI assigned

Jun 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Florida Clinical Practice Association IncGroup PAC ID 0345146254, 1,886 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uf Health Shands Homecare Home health agency, Gainesville, FL, CCN 107142
• Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Merit-based Incentive Payment System (MIPS)

Final score

47.54 of 100Reported as apm

Quality

38.49

Promoting interoperability

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jportilloromero234478@direct.shands.ufl.edu

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.

• Florida Clinical Practice Association Inc

  • Surgery Physician
  • Gainesville, FL
  • NPI 1063463768

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Florida Clinical Practice Association Inc

  • Durable Medical Equipment & Medical Supplies
  • Ocala, FL
  • NPI 1609529478
  NPD

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

• Shands Teaching Hospital and Clinics Inc

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1083403661
  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1144019720
  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • General Acute Care Hospital
  • Alachua, FL
  • NPI 1306717889
  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1396616876
  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • Home Health Agency
  • Gainesville, FL
  • NPI 1467532804
  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • General Acute Care Hospital
  • Newberry, FL
  • NPI 1477424943
  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1699874248
  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • Radiology Clinic/Center
  • Ocala, FL
  • NPI 1942031232

  Hospital

  Care Compare affiliation
• Shands Teaching Hospital and Clinics Inc

  • General Acute Care Hospital
  • Ocala, FL
  • NPI 1992542369
  Care Compare affiliation

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1972731958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "P.O. BOX 100277",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-265-0651",
            "fax_number": "352-265-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-265-0651",
            "fax_number": "352-265-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLO-ROMERO",
        "first_name": "JESSICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125-056928",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.129497",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME128743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019490000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Keith Porter Jr., MS, ATC, LAT, CEAS
• James Robert Porter, PH.D.
• Sandra Porter
• Tonnetta Porter
• David Samuel Portero, LCSW
• Regina L Portocarrero, OD
• Judiann Porubcan, ARNP
• Molly Reiss Posa
• Ashley Posada
• Taryn Posch, MD

• Family Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.