JAIME HUMBERTO MEMBRENO MD NPI 1255309704

NPI Information

  • NPI: 1255309704
  • Provider Name: JAIME HUMBERTO MEMBRENO, MD
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 PARK PLACE BLVD
    STE#202
    KISSIMMEE, FL
    ZIP 34741
  • Phone: (407) 931-1510

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NPI Details

Jaime Humberto Membreno, MD is a retina specialist ophthalmology in Kissimmee, FL with 28 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. Jaime Humberto Membreno, MD NPI is 1255309704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

100 PARK PLACE BLVD
STE#202
KISSIMMEE, FL
ZIP 34741-332
Phone: (407) 931-1510
Fax: (407) 931-3759

The NPI 1255309704 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Extended exam of the back part of the eye with retinal drawing (HCPCS:92201)
  • Imaging of retina (HCPCS:92134)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, aflibercept, 1 mg (HCPCS:J0178)
  • Injection of drug into eye (HCPCS:67028)
  • Compounded drug, not otherwise classified (HCPCS:J7999)
  • Exam of retinal blood vessels using a special camera after injection of a dye (HCPCS:92235)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Unclassified drugs (HCPCS:J3490)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • 2d ultrasound scan of eye tissue and structures (HCPCS:76512)
  • Destruction of leaking blood vessels of retina using laser (HCPCS:67228)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 3/10/2006 and was last updated on 4/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyME85244FLORIDANo
2207WX0107XOphthalmologyRetina SpecialistME85244FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U2626XMEDICARE PINFLORIDA
2H65829MEDICARE UPIN
3U2626XMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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