JOLLY CYRIL JOSE (MD) – Internal Medicine Physician, NPI 1194798975

JOLLY CYRIL JOSE (MD) is a healthcare provider. based in Valrico, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME79514 (FL). The NPI Number for JOLLY CYRIL JOSE (MD) is 1194798975

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
JOLLY CYRIL JOSE (MD)
NPI
1194798975
Phone
(813) 653-1880
Address
1291 BLOOMINGDALE AVE
Enumeration Date
10 February 2006
Last Update Date
19 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8136531880
Graduation Year
1994 (32 years ago)
PAC ID
9931099280
Group Practice PAC ID
3072403476
Professional Enrollment ID
I20040318001524
Address ID
FL335966168VA1291XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for JOLLY CYRIL JOSE (MD)

  • First Baptist Church of Bloomingdale, 3303, Bloomingdale Avenue, Valrico, Hillsborough County, Florida, 33596, United States

    VALRICO, FL 335966168

    Phone: (813) 653-1880

    Fax: (813) 654-2778

    Type: Location

  • 5th Street North, Downtown, Saint Petersburg, Pinellas County, Florida, 33701, United States

    SAINT PETERSBURG, FL 337022211

    Phone: (727) 824-0780

    Fax: (727) 568-6011

    Type: Mailing

  • 1291 BLOOMINGDALE AVE

    VALRICO, FL 335966168

    Phone: (813) 713-1955

    Fax: (813) 654-2778

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Medtronic, Inc. ($103).

Total Amount

$142

General + Research + Ownership

Payments

2

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

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: 2004-03-18

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
I20040318001524IInternal MedicineFLTBD

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
36415Insertion of needle into vein for collection of blood sample6934$0
99213Established patient office or other outpatient visit, 20-29 minutes6636$0
99214Established patient office or other outpatient visit, 30-39 minutes6339$0
99441Telephone medical discussion with physician, 5-10 minutes1413$0
G0008Administration of influenza virus vaccine1414$0
View full utilization report →

Insurance plans in this area (ZIP 33596)

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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: 3072403476View full group profile

Reviews

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Frequently asked questions

What is JOLLY CYRIL JOSE (MD)'s NPI number?
JOLLY CYRIL JOSE (MD)'s NPI is 1194798975 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JOLLY CYRIL JOSE (MD)?
For scheduling context, JOLLY CYRIL JOSE (MD) is shown as active in the registry.
What clinical focus is listed for JOLLY CYRIL JOSE (MD)?
At a glance, JOLLY CYRIL JOSE (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JOLLY CYRIL JOSE (MD)?
Directory geography for JOLLY CYRIL JOSE (MD) centers on Valrico, Florida.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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