Jose Alberto Ettedgui, M.D.
NPI 1316915663ActiveIndividual· Pediatrics, Pediatric Cardiology· Jacksonville, FL
Pediatrics, Pediatric Cardiology (M.D.) in Jacksonville, Florida, licensed in FL, with an NPI issued in March 2006.
Overview
| NPI | 1316915663 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 12, 2006 |
| Last updated in NPPES | May 11, 2023 |
| Certified by provider | May 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Cardiology Primary | 2080P0202X | ME86378 | FL |
| Pediatrics | 208000000X | ME86378 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pediatrics, Pediatric Cardiology providers in Jacksonville
- 1851856975
- 1184392847
- 1417521725
- 1023927563
- 1346810504
- 1851360952
- 1174987507
- 1376993386
- 1972759157
- 1568430783
- 1356310668
- 1306837299