Individual provider Active NPI

Oksana A Dovgopolyi, ARNP-BC

  • Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1124516810
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9375534 Issued in FL
Practice address
1540 S Tamiami TRL Ste 401
Sarasota, FL 34239-2921
Phone
(941) 917-0060
NPI assigned
Apr 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9375534 FL Primary

Addresses

Primary practice location

1540 S Tamiami TRL Ste 401
Sarasota, FL 34239-2921

Mailing address

1540 S Tamiami TRL Ste 401
Sarasota, FL 34239-2921
Phone (941) 917-0060

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181023001875 FL Practitioner - Nurse Practitioner 8325391238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Cardiac Consultants IncGroup PAC ID 8426026352, 15 clinicians

Practice addresses (Care Compare)

1540 S Tamiami Trail
Suite 401
Sarasota, FL 34239-2921

1540 S Tamiami TRL
Suite 401
Sarasota, FL 34239-2921
Phone (941) 917-0060

600 Nokomis Ave S
Suite 101
Venice, FL 34285-3209
Phone (941) 485-8190

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
52.35 of 100Reported as group
Quality
4.73
Improvement activities
40
Cost
68.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9375534FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cardiac Consultants Inc CurrentSince Aug 21, 2018 Accepting new patients
Florida Cardiac Consultants, Inc Past Accepting new patients
Heart Specialists of Sarasota PL PastSince Jul 9, 2001 Accepting new patients

Locations

1540 S Tamiami Trl
Ste 401
Sarasota, FL 34239
Phone (941) 917-0060

600 Nokomis Ave S
Ste 101
Venice, FL 34285
Phone (941) 485-8190

Organizations & group practices 3

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": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1124516810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 S TAMIAMI TRL STE 401",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392921",
            "telephone_number": "941-917-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 S TAMIAMI TRL STE 401",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392921",
            "telephone_number": "941-917-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVGOPOLYI",
        "first_name": "OKSANA",
        "middle_name": "A",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9375534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.