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DR. EFRAIN IRIZARRY MD
NPI 1861798423
Internal Medicine in Gainesville, FL

Active since January 31, 2011PECOS Enrolled
6500 W NEWBERRY RD, GAINESVILLE, FL 32605(352) 989-0986(352) 333-5124 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Efrain Irizarry Md NPPES

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

DR. EFRAIN IRIZARRY MD (NPI 1861798423) is an individual internal medicine provider in Gainesville, Florida, licensed in Florida (ME112205) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Hca Florida North Florida Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1861798423
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EFRAIN IRIZARRYCredential: MD
Location Address6500 W NEWBERRY RDGainesville, FL 32605-4309
Mailing Address6500 W Newberry RdGainesville, FL 32605-4309 · (352) 989-0986 · Fax (352) 333-5124
Phone(352) 989-0986
Fax(352) 333-5124
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 31, 2011
Last NPPES UpdateSeptember 17, 2012
✔ NPI 1861798423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME112205✔ Licensed in VA · 0101251298
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6500 W NEWBERRY RD, Gainesville, FL 32605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Efrain Irizarry Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476718677
PECOS Enrollment IDI20120712000573
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.

Hospital Affiliations CMS Care Compare

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

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers37 claims37 services$18.26 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$915.56 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers61 claims61 services$94.92 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$33.11 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers53 claims53 services$21.67 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.

MISS SABRINA MICHELLE LOZIER BSN, RN
Registered Nurse
6500 W NEWBERRY RD
GAINESVILLE, FL 32605
Alachua County (352) 333-4000
MRS. VICTORIA CHYVONE MEJIA CRNA
Nurse Anesthetist, Certified Registered
6500 W NEWBERRY RD
GAINESVILLE, FL 32605
Alachua County (352) 333-4000
HARINI REDDY CHOULA MD
Student in an Organized Health Care Education/Training Program
6500 W NEWBERRY RD
GAINESVILLE, FL 32605
Alachua County (352) 333-5980
MAULIK JITESH JANI M.D.
Family Medicine
6500 W NEWBERRY RD
GAINESVILLE, FL 32605
Alachua County (412) 439-4915
JENNIFER CARLY BLAIRE
Registered Nurse (Critical Care Medicine)
6500 W NEWBERRY RD
GAINESVILLE, FL 32605
Alachua County (352) 333-4611
MR. DANIEL SHAWN PITTS APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6500 W NEWBERRY RD
GAINESVILLE, FL 32605
Alachua County (386) 546-3908
ALI ABBAS AALAM MBBS, MS
Student in an Organized Health Care Education/Training Program
6500 W NEWBERRY RD
GAINESVILLE, FL 32605
Alachua County (352) 333-5173
HOSPITAL MEDICINE GROUP, PL
Hospitalist
6500 W NEWBERRY RD
GAINESVILLE, FL 32605
Alachua County (352) 333-4900

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 Efrain Irizarry's NPI number?

The NPI number for Efrain Irizarry is 1861798423. It was assigned to this individual provider in the NPPES registry on January 31, 2011.

Where is Efrain Irizarry located?

Efrain Irizarry practices at 6500 W Newberry Rd, Gainesville, FL 32605. The listed phone number is (352) 989-0986.

What is Efrain Irizarry's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Efrain Irizarry enrolled in Medicare?

Yes. Efrain Irizarry is registered in the Medicare PECOS enrollment system.

What insurance does Efrain Irizarry accept?

Health plans from AvMed list Efrain Irizarry 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 Efrain Irizarry affiliated with any hospitals?

According to CMS data, Efrain Irizarry is affiliated with Hca Florida North Florida Hospital.

When was this NPI record last updated?

The NPPES record for Efrain Irizarry was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.