Active NPI
Elizabeth Jungst, MD
- Internal Medicine Physician
- Sarasota, FL
National Provider Identifier
1053522839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME102753
- Practice address
- 1921 Waldemere St
Suite 405
Sarasota, FL 34239-2943 - Phone
- (941) 917-3500
- Fax
- (941) 917-3501
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57010095 | OH | |
| Internal Medicine Physician | 207R00000X | ME102753 | FL | Primary |
Addresses
Primary practice location
1921 Waldemere St
Suite 405
Sarasota, FL 34239-2943
Mailing address
PO Box 863407
Orlando, FL 32886-3407
Phone (941) 917-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76218 | Other | FL | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Florida College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1921 Waldemere St
Suite 405
Sarasota, FL 34239-2941
Phone (941) 917-3500
Hospital & facility affiliations
- Haven Home Health Care
- Patients First Home Care LLC
- Sarasota Memorial Homecare
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME102753 | FL | MD | Internal Medicine Physician |
| 57010095 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMH Physician Services Inc | Internal Medicine | Current | Accepting new patients |
| SMH Physician Services Inc | Past | Accepting new patients |
Locations
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
1921 Waldemere St
Ste 405
Sarasota, FL 34239
Phone (941) 917-3500
5132 Ocean Blvd
Sarasota, FL 34242
Phone (941) 312-6708
Interoperability endpoints
- elizabeth.jungst@fpg.directbygreenway.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.
-
dba First Physicians Group
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
-
dba First Physicians Group
- Gynecology Physician
- Sarasota, FL
- NPI 1275525826
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba dba Sarasota Memorial Home Care
- Home Health Agency
- Sarasota, FL
- NPI 1013915149
-
- Home Health Agency
- Sarasota, FL
- NPI 1245845312
-
dba Sarasota Memorial Hospital - Venice
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1053522839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863407",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328863407",
"telephone_number": "941-917-2600",
"fax_number": "941-917-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 WALDEMERE ST",
"address_2": "SUITE 405",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392943",
"telephone_number": "941-917-3500",
"fax_number": "941-917-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNGST",
"first_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57010095",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME102753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "76218",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.