JORGE CAMILO MORA (M.D.) – Family Medicine Physician, NPI 1114129210

JORGE CAMILO MORA (M.D.) is a healthcare provider. based in Pembroke pines, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. ME98131 (FL). The NPI Number for JORGE CAMILO MORA (M.D.) is 1114129210

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
JORGE CAMILO MORA (M.D.)
NPI
1114129210
Phone
(954) 442-2828
Address
501 NW 179TH AVE
Enumeration Date
1 June 2007
Last Update Date
20 March 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544368036
Graduation Year
1994 (32 years ago)
PAC ID
4981786084
Group Practice PAC ID
1951449784
Professional Enrollment ID
I20080129000191
Address ID
FL333261912WE1290XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,723 FAMILY PRACTICE in FL

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Provider Addresses for JORGE CAMILO MORA (M.D.)

  • 501, Northwest 179th Avenue, Pembroke Pines, Broward County, Florida, 33029, United States

    PEMBROKE PINES, FL 330292807

    Phone: (954) 442-2828

    Fax: (954) 442-3366

    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 6 Open Payments records for all available years, with a total value of $114.

Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Exact Sciences Corporation ($24).

Total Amount

$114

General + Research + Ownership

Payments

6

Total payment records

General Amount

$114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

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: 2008-01-29

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
I20080129000191IFamily 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33029)

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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: 1951449784View full group profile
NameSpecialtyState
Family PracticeFL
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I verify JORGE CAMILO MORA (M.D.) with an NPI only?
You can start verification with NPI 1114129210 for JORGE CAMILO MORA (M.D.), then check state licensing separately.
Does CMS list JORGE CAMILO MORA (M.D.) as active?
Yes — JORGE CAMILO MORA (M.D.) is active in the NPI listing used on this page.
What is JORGE CAMILO MORA (M.D.)'s specialty?
The listing groups JORGE CAMILO MORA (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JORGE CAMILO MORA (M.D.) on a map?
Expect Pembroke Pines, Florida as a primary anchor for JORGE CAMILO MORA (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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