Individual provider Active NPI

Alfonso Jimenez, M.D.

  • Internal Medicine Physician
  • Pensacola, FL
National Provider Identifier
1982070306
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
168159 Issued in CA
Practice address
5153 N 9TH Ave
Pensacola, FL 32504-8785
Phone
(646) 893-9220
Fax
(406) 226-0543
NPI assigned
Aug 19, 2015
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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 ME164737 FL
Internal Medicine Physician 207R00000X 168159 CA Primary
Internal Medicine Physician 207R00000X 296208 NY
Internal Medicine Physician 207R00000X 322161 LA
Hospitalist Physician 208M00000X 296208 NY
Hospitalist Physician 208M00000X 168159 CA
Hospitalist Physician 208M00000X 322161 LA
Hospitalist Physician 208M00000X ME164737 FL
Community/Behavioral Health Agency 251S00000X ME164737 FL
Community/Behavioral Health Agency 251S00000X 168159 CA

Addresses

Primary practice location

5153 N 9TH Ave
Pensacola, FL 32504-8785

Mailing address

3041 Knotty Pine Dr
Pensacola, FL 32505-1853
Phone (646) 893-9220

Other practice location 1

4864 Jackson St
Monroe, LA 71202-6400
Phone (318) 330-7000

Other practice location 2

123 Baptist Way
Pensacola, FL 32503-2254
Phone (850) 972-8208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, LA, AZ, CA, FL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20181217000831 NY Practitioner - Internal Medicine 8123363314 Reassigns benefits to 3 organizations
I20200410000605 LA Practitioner - Internal MedicinePractitioner - Hospitalist 8123363314 Reassigns benefits to 2 organizations
I20201211001183 AZ Practitioner - Hospitalist 8123363314 Reassigns benefits to 1 organization
I20210721003227 CA Practitioner - Internal MedicinePractitioner - PsychiatryPractitioner - Addiction MedicinePractitioner - Hospitalist 8123363314 Practice locations: Stockton, CA; Tulare, CA
I20240124004655 FL Practitioner - Hospitalist 8123363314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4864 Jackson St
Monroe, LA 71202-6400
Phone (318) 330-7167

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
168159CAMDInternal Medicine Physician
296208NYMDInternal Medicine Physician
322161LAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Oct 5, 2019 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Oct 5, 2019 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Feb 1, 2024 Accepting new patients
Pensacola Hospitalist Physicians, LLC Hospitalist CurrentSince Dec 23, 2023 Accepting new patients
Pensacola Hospitalist Physicians, LLC Hospitalist CurrentSince Dec 23, 2023 Accepting new patients
Coolidge Physician Services LLC Hospitalist CurrentSince Sep 22, 2020 Accepting new patients
Northbay Healthcare Group CurrentSince Dec 6, 2022 Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Delphi Hospitalist Services LLC Hospitalist CurrentSince Dec 1, 2018 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

515 Main St
Olean, NY 14760
Phone (716) 373-2600

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1982070306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 KNOTTY PINE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325051853",
            "telephone_number": "646-893-9220",
            "fax_number": "406-226-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048785",
            "telephone_number": "646-893-9220",
            "fax_number": "406-226-0543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4864 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712026400",
            "country_code": "US",
            "telephone_number": "318-330-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Baptist Way",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032254",
            "country_code": "US",
            "telephone_number": "850-972-8208",
            "fax_number": "420-226-0543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ALFONSO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME164737",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "168159",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "296208",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "322161",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "296208",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "168159",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "322161",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME164737",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "ME164737",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "168159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.