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DANISHA GISELLE FIGUEROA M.D.
NPI 1417217498
Internal Medicine - Infectious Disease in Orange Park, FL

Active since May 23, 2012PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1536 KINGSLEY AVE STE 118, ORANGE PARK, FL 32073(904) 298-2113(904) 298-1922 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2021, Oct 24, 2016 (2 updates tracked since 2016).

About Danisha Giselle Figueroa M.d. NPPES

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

DANISHA GISELLE FIGUEROA M.D. (NPI 1417217498) is an individual infectious disease provider in Orange Park, Florida, licensed in Florida (ME126154) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1417217498
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDANISHA GISELLE FIGUEROACredential: M.D.
Location Address1536 KINGSLEY AVE STE 118Orange Park, FL 32073-4525
Mailing Address1536 Kingsley Ave Ste 118Orange Park, FL 32073-4525 · (904) 298-2113 · Fax (904) 298-1922
Phone(904) 298-2113
Fax(904) 298-1922
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 23, 2012
Last NPPES UpdateMarch 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
✔ NPI 1417217498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME126154
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 ListedGeneral PracticeTaxonomy 208D00000X · License 18399 (PR)
1536 KINGSLEY AVE STE 118, Orange Park, FL 32073
Open in Google Maps ↗

Other Identifiers 1

Medicaid017918800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Danisha Giselle Figueroa 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 ID9931410990
PECOS Enrollment IDI20160722002102
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Danisha Figueroa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Infectious Disease Associates PA
0.2 mi
Family
1563 KINGSLEY AVE STE 106
Orange Park, FL 32073
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1124214879 (904) 272-6161
Wcs Professional Services Of Florida, LLC
505 mi
Nurse Practitioner
3445 N CAUSEWAY BLVD, SUITE 600
Metairie, LA 70002
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
NPI 1659782415 (504) 835-4919

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

Areas of Expertise CMS Part B claims 6

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.
1,295 services348 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
320 services195 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
184 services174 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.
79 services74 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.
28 services22 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 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100226
Location2001 Kingsley AveOrange Park, FL 32073 · Clay County
Emergency services Birthing friendly

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 3

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

ILANA HILLER ARNP
Nurse Practitioner (Family)
1536 KINGSLEY AVE STE 118
ORANGE PARK, FL 32073
Clay County (904) 272-3307
CHRISTY CORMIER APRN
Nurse Practitioner (Acute Care)
1536 KINGSLEY AVE STE 118
ORANGE PARK, FL 32073
Clay County (904) 298-2113
MIHAELA IONESCU MD
Specialist
1536 KINGSLEY AVE STE 118
ORANGE PARK, FL 32073
Clay County (904) 298-2113

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 Danisha Figueroa's NPI number?

The NPI number for Danisha Figueroa is 1417217498. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Where is Danisha Figueroa located?

Danisha Figueroa practices at 1536 Kingsley Ave Ste 118, Orange Park, FL 32073. The listed phone number is (904) 298-2113.

What is Danisha Figueroa's specialty?

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

Is Danisha Figueroa enrolled in Medicare?

Yes. Danisha Figueroa 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.

Which organizations bill Medicare for Danisha Figueroa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danisha Figueroa reassigns Medicare benefits to 2 organizations: Florida Infectious Disease Associates PA (Orange Park, FL) and Wcs Professional Services Of Florida, LLC (Metairie, LA). Each 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 Danisha Figueroa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danisha Figueroa accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Danisha Figueroa 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 Danisha Figueroa affiliated with any hospitals?

According to CMS data, Danisha Figueroa is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville, Hca Florida Orange Park Hospital and Ascension St Vincent's Clay County.

When was this NPI record last updated?

The NPPES record for Danisha Figueroa was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.