Individual provider Active NPI

Hugh H Windom, M.D.

  • Allergy Physician
  • Sarasota, FL
National Provider Identifier
1013902204
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
ME0062095 Issued in FL
Practice address
3570 S Tuttle Ave
Sarasota, FL 34239-6405
Phone
(941) 927-4888
Fax
(941) 927-5808
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X ME0062095 FL Primary

Addresses

Primary practice location

3570 S Tuttle Ave
Sarasota, FL 34239-6405

Mailing address

3570 S Tuttle Ave
Sarasota, FL 34239-6405
Phone (941) 927-4888

Other identifiers 5

IdentifierTypeStateIssuer
0205070OtherFLUHC
14953OtherFLBLUE CROSS BLUE SHIELD FL
370374600MedicaidFL
625216OtherFLAETNA
7529109001OtherFLCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110610000173 FL Practitioner - Allergy/Immunology 6507043023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Duke University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hugh H Windom MD PAGroup PAC ID 1658558176, 4 clinicians

Practice addresses (Care Compare)

3570 S Tuttle Ave
Sarasota, FL 34239-6405

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hugh H Windom MD PA CurrentSince Dec 30, 2010 Accepting new patients
Pediatric Physician Services, Inc. Past Accepting new patients
Pediatric Gastroenterology Hepatology & Nutrition of FL P a PastSince Feb 15, 2020 Accepting new patients
Sarasota FL Clinical Research, LLC PastSince Mar 13, 2022 Accepting new patients

Locations

3570 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 927-4888

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEAAAA/Endpoint/AEAAAA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1013902204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 S TUTTLE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396405",
            "telephone_number": "941-927-4888",
            "fax_number": "941-927-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 S TUTTLE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396405",
            "telephone_number": "941-927-4888",
            "fax_number": "941-927-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDOM",
        "first_name": "HUGH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME0062095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0205070",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "14953",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370374600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "625216",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7529109001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.