Active NPI
Felix Ermolenko, MD
- Internal Medicine Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME85126
- Practice address
- 4451 Bayou Blvd
Pensacola, FL 32503-2601 - Phone
- (850) 416-2477
- Fax
- (850) 416-7520
- NPI assigned
- May 17, 2006
- Last updated
- Feb 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME85126 | FL | Primary |
Addresses
Primary practice location
4451 Bayou Blvd
Pensacola, FL 32503-2601
Mailing address
PO Box 2699
Attn: SHMG/Hpe
Pensacola, FL 32513-2699
Phone (850) 416-7800
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
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1657 Trinity Dr
Pensacola, FL 32504-5708
Phone (850) 416-0086
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME85126 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Internal Medicine | Current | Accepting new patients |
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System, Inc | Internal Medicine | Current | Accepting new patients |
| Northwest Florida Primary Care LLC | Past | Accepting new patients | |
| Sacred Heart Health System, Inc. | Past | Accepting new patients |
Locations
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
1657 Trinity Dr
Pensacola, FL 32504
Phone (850) 416-2400
4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619
5045 Carpenter Creek Dr
Pensacola, FL 32503
Phone (850) 416-2400
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
5153 N 9th Ave
Ste 302
Pensacola, FL 32504
Phone (850) 416-2250
Interoperability endpoints
- felix.ermolenko.1@9582.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ascension Medical Group Sacred Heart
- Family Medicine Physician
- Pensacola, FL
- NPI 1144271586
Internal Medicine
-
dba Ascension Medical Group Sacred Heart Sub Specialists
- Neurological Surgery Physician
- Pensacola, FL
- NPI 1902857352
-
dba Ascension Rx 1411
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
-
dba Sacred Heart UF Internal Medicine Residency Program
- Internal Medicine Physician
- Pensacola, FL
- NPI 1952177446
-
- Hospitalist Physician
- Niceville, FL
- NPI 1740429679
-
dba Ascension Sacred Heart Pensacola
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Sacred Heart Pensacola
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456358400000",
"number": "1194777029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"address_2": "ATTN: SHMG/HPE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325132699",
"telephone_number": "850-416-7800",
"fax_number": "850-416-4937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4451 BAYOU BLVD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032601",
"telephone_number": "850-416-2477",
"fax_number": "850-416-7520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERMOLENKO",
"first_name": "FELIX",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2016-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME85126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
- Ghada Waleed Eqab
- Zoltan T Erdos, MD
- Eric Schade, LCSW, LLC
- Calvin Jon Erickson, DO
- Jay Roger Erickson, M.D.
- Pedro Luis Escalona Diaz, MD
- Escambia Co Board of County Commiss (Escambia County EMS)
- Escambia Co Public Schools
- Escambia Community Clinic Inc-Lanza Pediatrics
- Escambia Community Clinics Inc (12th Avenue Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.