Alessandro L Acosta Fajardo (NPI# 1437122165, PAC ID# 4486676947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1437122165 |
| PAC ID by PECOS | 4486676947 |
| Professional Enrollment ID | I20051227000388 |
| Full Name | Alessandro L Acosta Fajardo |
| Organization Legal Name | STEWARD MEDICAL GROUP INC |
| Address |
1317 W Point Dr Cocoa FL 32922-6464 |
| Phone Number | 3216362621 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2860688728 |
| Number of Group Practice Members | 1568 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| 100177 | CAPE CANAVERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1317 W Point Dr, Cocoa, FL 32922-6464 | 3216362621 | STEWARD MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 9% | |
| MIPS_EC_047_overall | Care Plan | 9% |
| Organization Legal Name | STEWARD MEDICAL GROUP INC |
| Physicians | 1501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ribhu Tushar Jha | Neurosurgery | Steward Medical Group Inc | 736 Cambridge St Ccp, 8 Neurosurg. Neurology, Brighton, MA 02135-2907 |
| Amber Hicks-thibodeau | Family Medicine | Steward Medical Group Inc | 5170 Belmont Ave, Youngstown, OH 44505-1022 |
| Neal Mahesh Patel | Gastroenterology | Steward Medical Group Inc | 2501 Shenango Valley Fwy, Suite 3, Hermitage, PA 16148-2536 |
| George P Christophi | Gastroenterology | Steward Medical Group Inc | 8075 Spyglass Hill Rd, Suite 101, Melbourne, FL 32940-8281 |
| Darya P. Zakirov | Nurse Practitioner | Steward Medical Group Inc | 100 Industrial Park Rd, Suite 1, Taunton, MA 02780-7396 |
| Cynthia E Rider | Nurse Practitioner | Steward Medical Group Inc | 8005 Bay St, Suite 1, Sebastian, FL 32958-3244 |
| Jeffrey Henry Janco | Nurse Practitioner | Steward Medical Group Inc | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| Pamela Ann Johnson | Nurse Practitioner | Steward Medical Group Inc | 119 Longwood Ave, Rockledge, FL 32955-2827 |
| Shailendra Singh | Interventional Cardiology | Steward Medical Group Inc | 1800 Sulllivan Trail, Suite 200, Easton, PA 18040-8493 |
| Asa Paris | Certified Registered Nurse Anesthetist (crna) | Steward Medical Group Inc | 235 N Pearl St, Brockton, MA 02301-1794 |
| Street Address |
1317 W POINT DR |
| City | COCOA |
| State | FL |
| Zip | 32922-6464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond C Baez | Internal Medicine | Steward Medical Group Inc | 1317 W Point Dr, Cocoa, FL 32922-6464 |
| Hany S Guirguis | Internal Medicine | Steward Medical Group Inc | 1317 W Point Dr, Cocoa, FL 32922-6464 |
| Mark K Pinkowski | Family Medicine | Steward Medical Group Inc | 1317 W Point Dr, Cocoa, FL 32922-6464 |
| Harry Diaz | Family Medicine | Steward Medical Group Inc | 1317 W Point Dr, Cocoa, FL 32922-6464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Micah R Girard | Optometry | 1941 Michigan Ave, Cocoa, FL 32922-5728 | |
| Nancy E Mackay | Psychologist, Clinical | 1970 Michigan Ave, Suite J2, Cocoa, FL 32922-5732 | |
| Susie C Glick | Clinical Social Worker | Burnham Woods Champa and Associates | 1970 Michigan Ave, J2, Cocoa, FL 32922-5758 |
| Gary F Burnham | Clinical Social Worker | Burnham Woods Champa and Associates | 1970 Michigan Ave, J2, Cocoa, FL 32922-5758 |
| Aaron R Privett | Psychologist, Clinical | Burnham Woods Champa and Associates | 1970 Michigan Ave, J2, Cocoa, FL 32922-5758 |
| Andrew R Canavan | Chiropractic | Cocoa Chiropractic Center Pa | 111 N Fiske Blvd, Cocoa, FL 32922-7211 |
| Paul M. Lombardi | Chiropractic | 111 N Fiske Blvd, Cocoa, FL 32922-7211 | |
| Janet E Miley | Internal Medicine | 863 N Cocoa Blvd, Cocoa, FL 32922-7510 | |
| Wendy L Worsley | Family Medicine | Florida Medical Associates LLC | 840 N Cocoa Blvd, Suite C, Cocoa, FL 32922-7590 |
| Ricardo A Henriques | Internal Medicine | 503 Delannoy Ave, Cocoa, FL 32922-7813 | |
| Find all physicians in zip 32922 | |||
| City | COCOA |
| Zip Code | 32922 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COCOA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Alessandro L Acosta Fajardo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.