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ADVANCE MEDICAL SPECIALTY LLC
NPI 1114449345
Internal Medicine - Infectious Disease in Lady Lake, FL

Active since July 10, 2017
8550 NE 138TH LN STE 500, LADY LAKE, FL 32159(352) 633-9858(352) 633-9870 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2024, Jan 19, 2018, Jul 10, 2017 (3 updates tracked since 2017).

About Advance Medical Specialty Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCE MEDICAL SPECIALTY LLC (NPI 1114449345) is a healthcare organization registered as an infectious disease in Lady Lake, Florida and active in the NPI registry since July 2017. The organization lists Hemwattie S Jaimangal, President, as its authorized official.

NPPES Registry Identity

NPI1114449345
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameADVANCE MEDICAL SPECIALTY LLC
Location Address8550 NE 138TH LN STE 500Lady Lake, FL 32159-6804
Mailing Address18981 Us Highway 441 Ste 121Mount Dora, FL 32757-6735 · (352) 201-5949 · Fax (352) 729-2287
Phone(352) 633-9858
Fax(352) 633-9870
Organization SubpartNo
Authorized OfficialHemwattie S JaimangalPresident · (352) 633-9858
Enumeration DateJuly 10, 2017
Last NPPES UpdateJune 5, 20243 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1114449345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · OS10278
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
8550 NE 138TH LN STE 500, Lady Lake, FL 32159
Open in Google Maps ↗

Other Identifiers 1

Medicaid021679600FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advance Medical Specialty Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advance Medical Specialty LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kelly Diaz-Vazquez, APRN
Nurse Practitioner
NPI 1972380590
8550 NE 138TH LN BLDG 500
Lady Lake, FL 32159
(352) 633-9858
✔ PECOS✔ Accepts MedicareSame address
Hemwattie Jaimangal, DO
Infectious Disease
NPI 1821019001
8550 NE 138TH LN STE 500
Lady Lake, FL 32159
(352) 633-9858
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advance Medical Specialty LLC's NPI number?

The NPI number for Advance Medical Specialty LLC is 1114449345. It was assigned to this organization in the NPPES registry on July 10, 2017.

Where is Advance Medical Specialty LLC located?

Advance Medical Specialty LLC is located at 8550 NE 138th Ln Ste 500, Lady Lake, FL 32159. The listed phone number is (352) 633-9858.

What is Advance Medical Specialty LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Advance Medical Specialty LLC enrolled in Medicare?

Yes. Advance Medical Specialty LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advance Medical Specialty LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Advance Medical Specialty LLC, in Infectious Disease and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advance Medical Specialty LLC was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.