Individual provider Active NPI

Jerold L Saef, MD

  • Cardiovascular Disease Physician
  • Sarasota, FL
National Provider Identifier
1164415683
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0044818 Issued in FL
Practice address
3830 Bee Ridge Rd
Suite 201
Sarasota, FL 34233-1105
Phone
(941) 929-1039
Fax
(941) 929-1044
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0044818 FL Primary

Addresses

Primary practice location

3830 Bee Ridge Rd
Suite 201
Sarasota, FL 34233-1105

Mailing address

3830 Bee Ridge Rd
Suite 201
Sarasota, FL 34233-1105
Phone (941) 929-1039

Other identifiers 3

IdentifierTypeStateIssuer
062271100MedicaidFL
03779OtherFLBCBS
9188078OtherFLAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070815000355 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 3779481569 Reassigns benefits to 1 organization
I20141222001800 CO Practitioner - Cardiovascular Disease (Cardiology) 3779481569 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0044818FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Yampa Valley Medical Center CurrentSince Jun 19, 2015 Accepting new patients
Yampa Valley Medical Center CurrentSince Jun 19, 2015 Accepting new patients
Yampa Valley Medical Center Current Accepting new patients
Yampa Valley Medical Center Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Oct 20, 2014 Accepting new patients
Panel of Electrocardiology of Sarasota Memorial Hospital Cardiovascular Disease CurrentSince Oct 1, 2010 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

595 Russell St
Craig, CO 81625
Phone (970) 824-1020

651 Yampa Ave
Craig, CO 81625
Phone (970) 824-1020

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

1100 Central Park Dr
Ste 1050
Steamboat Springs, CO 80487
Phone (970) 870-1035

940 Central Park Dr
Ste 202
Steamboat Springs, CO 80487
Phone (970) 870-1035

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

940 Central Park Dr
Ste 207
Steamboat Springs, CO 80487
Phone (970) 875-2628

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1164415683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 BEE RIDGE RD",
            "address_2": "SUITE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331105",
            "telephone_number": "941-929-1039",
            "fax_number": "941-929-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 BEE RIDGE RD",
            "address_2": "SUITE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331105",
            "telephone_number": "941-929-1039",
            "fax_number": "941-929-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAEF",
        "first_name": "JEROLD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0044818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062271100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03779",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9188078",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.