Active NPI
Keron Alicia Ferguson, M.D.
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Maitland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- ME94429
- Practice address
- 2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442 - Phone
- (407) 426-4800
- Fax
- (407) 426-4820
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME94429 | FL | |
| Family Medicine Physician | 207Q00000X | ME94429 | FL | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | ME94429 | FL | Primary |
Addresses
Primary practice location
2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442
Mailing address
222 Broadway Unit 301
Kissimmee, FL 34741-5767
Phone (407) 846-8180
Other practice location 1
2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442
Phone (352) 329-1800
Other practice location 2
222 Broadway
Suite 301
Kissimmee, FL 34741
Phone (407) 846-8180
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
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Maitland Ctr Pkwy
Suite 310
Maitland, FL 32751-7442
Phone (352) 329-1800
5900 Lake Ellenor Dr
Suite 700
Orlando, FL 32809-4643
Phone (407) 352-2542
Hospital & facility affiliations
- Adventhealth Orlando
- Orlando Health
- Orlando Rehabilitation Hospital
- Pam Health Rehabilitation Hospital of Tavares
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 307 |
| Removal of skin lesions | 566 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kopa LLC | Current | Accepting new patients | |
| Nautilus Health Care Group, LLC | Undersea and Hyperbaric Medicine | Current | Accepting new patients |
| Nautilus Health Care Group LLC | Family Medicine | Current | Accepting new patients |
| House Call M.D.'S L.L.C. | Family Medicine | Current | Accepting new patients |
| Advanced Wound Systems LLC | Past | Accepting new patients |
Locations
715 W State Road 434
Longwood, FL 32750
Phone (407) 767-5843
2400 Maitland Center Pkwy
Ste 310
Maitland, FL 32751
Phone (352) 329-1800
2000 N Semoran Blvd
Orlando, FL 32807
Phone (407) 641-5400
7339 Stonerock Cir
Orlando, FL 32819
Phone (321) 842-7308
5900 Lk Ellenor Dr
Ste 700
Orlando, FL 32809
Phone (407) 216-0101
1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480
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.
-
- Family Medicine Physician
- Maitland, FL
- NPI 1275955312
-
- Multi-Specialty Clinic/Center
- Orlando, FL
- NPI 1417021114
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Melbourne, FL
- NPI 1912013558
Family Medicine
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Maitland, FL
- NPI 1487126264
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Kokomo, IN
- NPI 1013234699
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1508054271
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Rehabilitation Hospital
- Altamonte Springs, FL
- NPI 1194419176
Inpatient rehabilitation facility
-
dba PAM Health Rehabilitation Hospital of Ocoee
- Rehabilitation Hospital
- Tavares, FL
- NPI 1730809419
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1215007125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 BROADWAY UNIT 301",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415767",
"telephone_number": "407-846-8180",
"fax_number": "800-517-6794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MAITLAND CENTER PKWY STE 310",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517442",
"telephone_number": "407-426-4800",
"fax_number": "407-426-4820"
}
],
"practiceLocations": [
{
"address_1": "2400 Maitland Center Pkwy Ste 310",
"address_purpose": "LOCATION",
"city": "Maitland",
"state": "FL",
"postal_code": "327517442",
"country_code": "US",
"telephone_number": "352-329-1800",
"fax_number": "352-329-1810",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 Broadway",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "34741",
"country_code": "US",
"telephone_number": "407-846-8180",
"fax_number": "407-201-7966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERGUSON",
"first_name": "KERON",
"middle_name": "ALICIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME94429",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME94429",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "FL",
"license": "ME94429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.