Individual provider Active NPI

J Morgan Odonoghue, MD

  • Dermatology Physician
  • Sarasota, FL
National Provider Identifier
1144288135
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME80793 Issued in FL
Practice address
1952 Field Rd
Sarasota, FL 34231-2316
Phone
(941) 926-7546
Fax
(941) 926-2777
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME80793 FL Primary

Addresses

Primary practice location

1952 Field Rd
Sarasota, FL 34231-2316

Mailing address

1952 Field Rd
Sarasota, FL 34231-2316
Phone (941) 926-7546

Other identifiers 1

IdentifierTypeStateIssuer
59-3680294OtherFLTAX ID

Other names 1

  • J Morgan Odonoghue P a Professional name

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
I20071025000227 FL Practitioner - Dermatology 8325135205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Morgan Odonoghue P aGroup PAC ID 4789771148, 3 clinicians

Practice addresses (Care Compare)

1952 Field Rd
Sarasota, FL 34231-2316
Phone (941) 926-7546

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Removal of tissue1-10
Removal of skin lesions2455
Removal of skin cancer430
Removal or shaving of skin growth12
Skin biopsy511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME80793FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J Morgan Odonoghue P a Dermatology CurrentSince Aug 10, 2007 Accepting new patients

Locations

1952 Field Rd
Sarasota, FL 34231
Phone (941) 926-7546

Organizations & group practices 1

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1144288135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 FIELD RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342312316",
            "telephone_number": "941-926-7546",
            "fax_number": "941-926-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 FIELD RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342312316",
            "telephone_number": "941-926-7546",
            "fax_number": "941-926-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODONOGHUE",
        "first_name": "J",
        "middle_name": "MORGAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME80793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "59-3680294",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "ODONOGHUE P A",
            "middle_name": "MORGAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.