DR. ERNESTO LAZARO IZQUIERDO (M.D.) – General Practice Physician, NPI 1629182662

DR. ERNESTO LAZARO IZQUIERDO (M.D.) is a healthcare provider. based in Orlando, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. ME95729 (FL). The NPI Number for DR. ERNESTO LAZARO IZQUIERDO (M.D.) is 1629182662

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERNESTO LAZARO IZQUIERDO (M.D.)
NPI
1629182662
Phone
(407) 297-3626
Address
1781 PARK CENTER DR
Enumeration Date
18 August 2006
Last Update Date
14 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417552456
Graduation Year
1982 (44 years ago)
PAC ID
0547260127
Group Practice PAC ID
9133020787
Professional Enrollment ID
I20070104000288
Address ID
FL342035827BR712XXEXXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,466 GENERAL PRACTICE in FL

Provider Addresses for DR. ERNESTO LAZARO IZQUIERDO (M.D.)

  • 1781, Park Center Drive, Orlando, Orange County, Florida, 32835, United States

    SUITE 120

    ORLANDO, FL 328356254

    Phone: (407) 297-3626

    Fax: (407) 297-3772

    Type: Mailing

  • 6545 Normandy Blvd

    Jacksonville, FL 322056201

    Phone: (904) 861-1900

    Fax: (833) 505-2766

    Type: Location

  • 4160 University Blvd S

    Jacksonville, FL 322164317

    Phone: (904) 861-1900

    Fax: (833) 505-2765

    Type: Location

  • 9857 Old Saint Augustine Rd Ste 1

    Jacksonville, FL 322578821

    Phone: (904) 861-1900

    Fax: (833) 505-2763

    Type: Location

  • 2255 Dunn Ave Ste 100

    Jacksonville, FL 322184739

    Phone: (904) 861-1900

    Fax: (833) 505-2764

    Type: Location

  • PO BOX 878

    DAVENPORT, FL 338360878

    Phone: (689) 223-3898

    Fax: (689) 223-3898

    Type: Mailing

  • 712 53RD AVE E STE C

    BRADENTON, FL 342035827

    Phone: (417) 552-4569

    Fax: (877) 788-3881

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $338.

Total Amount is formed as General ($338) + Research ($0) + Ownership ($0) = $338.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Amgen Inc. ($102).

Total Amount

$338

General + Research + Ownership

Payments

11

Total payment records

General Amount

$338

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

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: 2007-01-04

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
I20070104000288IGeneral 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
99214Established patient office or other outpatient visit, 30-39 minutes470240$0
99213Established patient office or other outpatient visit, 20-29 minutes367165$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6969$0
99441Telephone medical discussion with physician, 5-10 minutes4021$0
99442Telephone medical discussion with physician, 11-20 minutes2624$0
View full utilization report →

Insurance plans in this area (ZIP 32835)

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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: 9133020787View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. ERNESTO LAZARO IZQUIERDO (M.D.) for billing?
Administrative and clinical systems typically use NPI 1629182662 for DR. ERNESTO LAZARO IZQUIERDO (M.D.).
Is DR. ERNESTO LAZARO IZQUIERDO (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. ERNESTO LAZARO IZQUIERDO (M.D.) as active.
What services align with DR. ERNESTO LAZARO IZQUIERDO (M.D.)'s listing?
DR. ERNESTO LAZARO IZQUIERDO (M.D.)'s public classification highlights General Practice Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ERNESTO LAZARO IZQUIERDO (M.D.)?
DR. ERNESTO LAZARO IZQUIERDO (M.D.) is associated with Orlando, Florida in the same public data insurers reference.
Why is information missing for DR. ERNESTO LAZARO IZQUIERDO (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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