Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jose Alberto Ettedgui, M.D.

Pediatric Cardiology Physician in Jacksonville, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316915663

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Registry record

Entity type Individual (Type 1)

Name Dr. Jose Alberto Ettedgui

Credential M.D.

Sex Male

Practice address 841 Prudential Dr Ste 280, Jacksonville, FL, 32207

Phone (904) 202-8550

Fax (904) 393-7808

Enumeration date Mar 12, 2006

Last updated in NPPES May 11, 2023

Taxonomy & licenses

2080P0202X Pediatric Cardiology Physician Allopathic & Osteopathic Physicians · License ME86378 (FL) Primary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License ME86378 (FL) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
2637286-00	Medicaid	FL	-
000723269A	Medicaid	GA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Jose Ettedgui practice?

The practice location on file with NPPES is in Jacksonville, FL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jose Ettedgui?

The National Provider Identifier (NPI) for Jose Ettedgui is 1316915663, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-11.