Individual provider Active NPI

Jay Kuchera, MD

  • Anesthesiology Physician
  • Port St Lucie, FL
National Provider Identifier
1013974450
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME 50771 Issued in FL
Practice address
10244 S US Highway 1
Port St Lucie, FL 34952-5615
Phone
(772) 924-2527
Fax
(772) 337-9034
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME 50771 FL Primary

Addresses

Primary practice location

10244 S US Highway 1
Port St Lucie, FL 34952-5615

Mailing address

10244 S US Highway 1
Port St Lucie, FL 34952-5615
Phone (772) 924-2527

Other identifiers 1

IdentifierTypeStateIssuer
04404OtherFLBCBS OF FLORIDA

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
I20080422000184 FL Practitioner - Anesthesiology 1951489640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Florida College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Anesthesia Associates LLCGroup PAC ID 4183619828, 47 clinicians

Practice addresses (Care Compare)

208 NE 19TH Dr
Okeechobee, FL 34972-1932
Phone (866) 724-6807

Hospital & facility affiliations

  • HCA Florida Raulerson Hospital Hospital, Okeechobee, FL, CCN 100252

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
93.85
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 50771FLMDAnesthesiology Physician

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Mobile Anesthesia Associates LLC Anesthesiology CurrentSince Dec 16, 2023 Accepting new patients
Baptist Surgery and Endoscopy Centers LLC CurrentSince Dec 16, 2023 Accepting new patients

Locations

3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

208 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 763-6431

4510 Donald Ross Rd
Palm Beach Gardens, FL 33418
Phone (910) 691-1853

10244 S US Highway 1
Port St Lucie, FL 34952
Phone (954) 223-5483

2300 SE Veterans Memorial Pkwy
Port St Lucie, FL 34952

111 SE Osceola St
Stuart, FL 34994
Phone (772) 242-7720

111 SE Osceola St
Ste 100
Stuart, FL 34994
Phone (866) 228-7676

2096 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 223-0174

3602 Kyoto Gardens Dr
West Palm Beach, FL 33410
Phone (561) 799-2288

325 Avenue B NW
Winter Haven, FL 33881
Phone (800) 364-9216

Networks

  • FL PPO
  • FL HMO

Interoperability endpoints

  • Direct secure messaging: jay.kuchera.1@30104.direct.athenahealth.com

Organizations & group practices 2

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1013974450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10244 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525615",
            "telephone_number": "772-924-2527",
            "fax_number": "772-337-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10244 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525615",
            "telephone_number": "772-924-2527",
            "fax_number": "772-337-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHERA",
        "first_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME 50771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "04404",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.