NPI Details
DR. Jose Medina, MD is a pulmonary disease internal medicine in Valdosta, GA with 31 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Jose Medina, MD NPI is 1417944513. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:1995
The provider's business location address is:
3334 GREYSTONE WAY
VALDOSTA, GA
ZIP 31605
Phone: (229) 247-1667
Fax: (229) 245-7661
The NPI 1417944513 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 CLIA number assigned to this NPI record is 11D0933792 - physician office with a certificate type of Certificate of Waiver.
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.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Test to measure expiratory airflow and volume changes before and after medication administration (HCPCS:94060)
- Test to examine how well the lungs exchange gases (HCPCS:94729)
- Test to determine lung volumes using sensors (HCPCS:94726)
- Evaluation of use of breathing device (HCPCS:94664)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Therapy procedure using a positive pressure ventilator (HCPCS:94660)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Sleep study in sleep lab with continuous airway pressure (6 years or older) (HCPCS:95811)
- Sleep study in sleep lab (6 years or older) (HCPCS:95810)
- Advance care planning, first 30 minutes (HCPCS:99497)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
- Test to determine lung volumes using gas dilution or washout (HCPCS:94727)
- Test for exercise-induced lung stress (HCPCS:94618)
The enumeration date for this NPI number is 10/4/2005 and was last updated on 4/19/2012.
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 |
| 1 | 207R00000X | Internal Medicine | | 041166 | GEORGIA | No |
| 2 | 207RC0200X | Internal Medicine | Critical Care Medicine | 041166 | GEORGIA | No |
| 3 | 207RS0012X | Internal Medicine | Sleep Medicine | 041166 | GEORGIA | No |
| 4 | 207RP1001X | Internal Medicine | Pulmonary Disease | 041166 | GEORGIA | Yes |
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 |
| 1 | G17343 | MEDICARE UPIN | GEORGIA | |
| 2 | 000686507C | MEDICAID | GEORGIA | |
