DEREK JIMENEZ M.D. – NPI #1194846923
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

DEREK JIMENEZ is a physician located in PENSACOLA, FL. NPPES has assigned the NPI number 1194846923 to DEREK JIMENEZ on April 02, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 10 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEREK JIMENEZ below.

NPI Profile for
DEREK JIMENEZ

NPI Number
1194846923
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DEREK JIMENEZ
Credentials
M.D.
Primary location
1619 CREIGHTON RD STE 1
PENSACOLA, FL 32504-7152
Phone: (850) 444-4700 Fax: (850) 434-8144
10 Other location(s):
6001 Industrial Blvd
Century, FL 32535-3312
Phone: (850) 444-4700
Fax: (850) 434-8144
221 E Redstone Ave
Crestview, FL 32539-5373
Phone: (850) 398-6606
Fax: (850) 398-6424
319 Green Acres Rd Ste 103
Fort Walton Beach, FL 32547-1170
Phone: (850) 862-2385
Fax: (850) 862-0482
2583 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3043
Phone: (850) 444-4700
14114 Alabama St
Jay, FL 32565-1219
Phone: (850) 444-4700
Fax: (850) 434-8144
5934 Berryhill Medical Park Dr # 1
Milton, FL 32570
Phone: (850) 623-4771
Fax: (850) 623-3938
4304 Lancaster Dr
Niceville, FL 32578-4563
Phone: (850) 862-2385
Fax: (850) 862-0482
1717 N E St Ste 403
Pensacola, FL 32501-6334
Phone: (850) 444-4700
Fax: (850) 434-8144
2940 N Blue Angel Pkwy
Pensacola, FL 32506-2925
Phone: (850) 444-4700
Fax: (850) 434-8144
5149 N 9th Ave Ste G35
Pensacola, FL 32504-8733
Phone: (850) 444-4700
Fax: (850) 434-8144
Mailing address
PO BOX 11037
PENSACOLA, FL 32524-1037
Phone: (850) 444-7000 Fax: (850) 444-7497
Sole Proprietor
No
Updated
Certification Date
Dec 28, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DEREK JIMENEZ

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERALABAMA MEDICAL LICENSUREALMD.30541
OTHERMEDICAL LICENSEFLME97915
MEDICAIDFL278621400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 AL MD.30541

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DEREK JIMENEZ is affiliated with the following medical group(s):
  • HOSPITAL
    • FORT WALTON BEACH MEDICAL CENTER
      1000 MAR-WALT DR
      FORT WALTON BEACH, FL 32547
    • NORTH OKALOOSA MEDICAL CENTER
      151 REDSTONE AVE SE
      CRESTVIEW, FL 32539
    • SACRED HEART HOSPITAL
      5151 N 9TH AVE
      PENSACOLA, FL 32504
    • SACRED HEART HOSPITAL ON THE EMERALD COAST
      7800 US HWY 98 W
      MIRAMAR BEACH, FL 32550
    • TWIN CITIES HOSPITAL
      2190 HWY 85 N
      NICEVILLE, FL 32578
  • HOME HEALTH AGENCY
    • GULF COAST HOME HEALTH
      2207 S FERDON BLVD
      CRESTVIEW, FL 32536
  • DIALYSIS FACILITY
    • FMC - NICEVILLE
      4304 LANCASTER DR
      NICEVILLE, FL 32578
    • RCG - FT WALTON BEACH
      925 MAR WALT DR STE 3
      FORT WALTON BEACH, FL 32547
    • RENAL CARE GROUP - DESTIN
      7720 US HWY 98 W
      MIRAMAR BEACH, FL 32550

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.