JUAN ANTONIO CARMONA (MD) – Family Medicine Physician, NPI 1083153761

JUAN ANTONIO CARMONA (MD) is a healthcare provider. based in Cape coral, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. 19664 (PR). The NPI Number for JUAN ANTONIO CARMONA (MD) is 1083153761

Main info

Male
Sole Proprietor
Accepts Medicare Assignment
Name
JUAN ANTONIO CARMONA (MD)
NPI
1083153761
Phone
(239) 297-9730
Address
2307 BOLADO PKWY
Enumeration Date
15 February 2017
Last Update Date
31 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7867683315
Graduation Year
null (2026 years ago)
PAC ID
7113189671
Group Practice PAC ID
4486076080
Professional Enrollment ID
I20171226000334
Address ID
FL339902712CA2307XPKWY300
Telehealth
Yes

Contacts

Other Endpoint
carmonamedicalcenter@gmail.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

1,467 GENERAL PRACTICE in FL

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Provider Addresses for JUAN ANTONIO CARMONA (MD)

  • 2307, Bolado Parkway, Cape Coral, Lee County, Florida, 33990, United States

    CAPE CORAL, FL 339902712

    Phone: (239) 297-9730

    Fax: (239) 257-3827

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $1,558.

Total Amount is formed as General ($1,558) + Research ($0) + Ownership ($0) = $1,558.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($299).

Total Amount

$1,558

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,558

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-12-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171226000334IGeneral PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes21376$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional7042$0
36415Insertion of needle into vein for collection of blood sample5838$0
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes4242$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4040$0
View full utilization report →

Insurance plans in this area (ZIP 33990)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486076080View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the registry number for JUAN ANTONIO CARMONA (MD)?
The registry entry for JUAN ANTONIO CARMONA (MD) shows NPI 1083153761.
Quick check: is JUAN ANTONIO CARMONA (MD) active?
Public NPPES data shows JUAN ANTONIO CARMONA (MD) with an active NPI status right now.
What services align with JUAN ANTONIO CARMONA (MD)'s listing?
JUAN ANTONIO CARMONA (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JUAN ANTONIO CARMONA (MD) in Cape Coral, Florida?
For routing, start with Cape Coral, Florida for JUAN ANTONIO CARMONA (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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