Individual provider Active NPI

Jennifer Ayscue, MD

  • Colon & Rectal Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1265411227
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME159244 Issued in FL
Practice address
625 6TH Ave S
St Petersburg, FL 33701-4662
Phone
(727) 893-6363
Fax
(727) 893-6364
NPI assigned
Jan 10, 2006
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD32652 DC
Colon & Rectal Surgery Physician 208C00000X ME159244 FL Primary

Addresses

Primary practice location

625 6TH Ave S
St Petersburg, FL 33701-4662

Mailing address

625 6TH Ave S
St Petersburg, FL 33701-4662
Phone (727) 893-6363

Other practice location 1

106 Irving St NW
2100 North
Washington, DC 20010-2927
Phone (202) 877-8484

Other identifiers 4

IdentifierTypeStateIssuer
699312500MedicaidDC
025804400MedicaidDC
010103304MedicaidDC
022077W91OtherDCMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, FL2 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
I20060516000006 DC Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 6901817493 Reassigns benefits to 2 organizations
I20221020000802 FL Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 6901817493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

Practice addresses (Care Compare)

625 6TH Ave S
Suite 385
St Petersburg, FL 33701-4665
Phone (727) 553-7100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy30

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2019 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Ohi West Medical Group, LLC CurrentSince Nov 7, 2022 Accepting new patients
WHC Emerg Phys CurrentSince Aug 12, 2013 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2019 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Nov 7, 2022 Accepting new patients
WHC Physician Group LLC Surgery CurrentSince Aug 12, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

106 Irving St NW
Washington, DC 20010
Phone (202) 877-0275

106 Irving St NW
#2100N
Washington, DC 20010
Phone (202) 877-8484

106 Irving St NW
Ste 4200
Washington, DC 20010
Phone (202) 877-2200

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179

625 6th Ave S
Ste 385
St Petersburg, FL 33701
Phone (727) 553-7100

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jayscue390958@orlandohealth.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1265411227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014662",
            "telephone_number": "727-893-6363",
            "fax_number": "727-893-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014662",
            "telephone_number": "727-893-6363",
            "fax_number": "727-893-6364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Irving St NW",
            "address_2": "2100 North",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102927",
            "country_code": "US",
            "telephone_number": "202-877-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYSCUE",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DC",
            "license": "MD32652",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME159244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699312500",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025804400",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010103304",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "022077W91",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.