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DR. JOSE MEDINA MD NPI 1417944513


NPI Information

NPI: 1417944513
Provider Name: DR. JOSE MEDINA, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

CLIA Number: 11D0933792

Address:
3334 GREYSTONE WAY
VALDOSTA, GA
ZIP 31605
Phone: (229) 247-1667
Get Directions

DR. Jose Medina, MD is a pulmonary disease internal medicine in Valdosta, GA with 29 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.

  • Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
  • Measurement of lung diffusing capacity (HCPCS:94729)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Sleep monitoring of patient (6 years or older) in sleep lab (HCPCS:95810)
  • Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube (HCPCS:95811)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 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
1207R00000XInternal Medicine041166GEORGIANo
2207RC0200XInternal MedicineCritical Care Medicine041166GEORGIANo
3207RS0012XInternal MedicineSleep Medicine041166GEORGIANo
4207RP1001XInternal MedicinePulmonary Disease041166GEORGIAYes

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
1G17343MEDICARE UPINGEORGIA
2000686507CMEDICAIDGEORGIA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.