CARMEN LILIANA ISACHE M.D.
NPI 1255657979
Internal Medicine - Infectious Disease in Jacksonville, FL

Active since April 20, 2010PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
515 W 6TH ST, JACKSONVILLE, FL 32206(904) 253-1040(904) 253-1931 Get Directions Write a Review

NPPES record last updated: March 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carmen Liliana Isache M.d. NPPES

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

CARMEN LILIANA ISACHE M.D. (NPI 1255657979) is an individual infectious disease provider in Jacksonville, Florida, licensed in Florida (ME122625) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1255657979
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameCARMEN LILIANA ISACHECredential: M.D.
Location Address515 W 6TH STJacksonville, FL 32206-4324
Mailing Address653 W 8th St # L14Jacksonville, FL 32209-6511 · (904) 244-7514 · Fax (904) 244-5650
Fax(904) 253-1931
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 20, 2010
Last NPPES UpdateMarch 10, 2017
NPI 1255657979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in FL · ME122625
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME122625 (FL)
515 W 6TH ST, Jacksonville, FL 32206

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carmen Liliana Isache M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365762127
PECOS Enrollment IDI20150518002187
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
172 services56 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
109 services54 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
46 services45 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims130 services$2.79 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims9,356 services$0.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Advanced Practice Midwife
515 W 6TH ST
JACKSONVILLE, FL 32206
Pediatrics
515 W 6TH ST
JACKSONVILLE, FL 32206
Nurse Practitioner (Family)
515 W 6TH ST
JACKSONVILLE, FL 32206
Pharmacy (Specialty Pharmacy)
515 W 6TH ST
JACKSONVILLE, FL 32206
Pharmacist (Pharmacotherapy)
515 W 6TH ST
JACKSONVILLE, FL 32206
Nurse Practitioner (Family)
515 W 6TH ST
JACKSONVILLE, FL 32206
Social Worker (Clinical)
515 W 6TH ST, MC # 27
JACKSONVILLE, FL 32206
Pediatrics
515 W 6TH ST
JACKSONVILLE, FL 32206

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 Carmen Liliana Isache's NPI number?

The NPI number for Carmen Liliana Isache is 1255657979. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Where is Carmen Liliana Isache located?

Carmen Liliana Isache practices at 515 W 6th St, Jacksonville, FL 32206. The listed phone number is (904) 253-1040.

What is Carmen Liliana Isache's specialty?

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

Is Carmen Liliana Isache enrolled in Medicare?

Yes. Carmen Liliana Isache is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carmen Liliana Isache accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Carmen Liliana Isache as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carmen Liliana Isache affiliated with any hospitals?

According to CMS data, Carmen Liliana Isache is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Carmen Liliana Isache was last updated on March 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.