Active NPI
Jennifer Ayscue, MD
- Colon & Rectal Surgery Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- ME159244
- 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, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 699312500 | Medicaid | DC | |
| 025804400 | Medicaid | DC | |
| 010103304 | Medicaid | DC | |
| 022077W91 | Other | DC | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- 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
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| WHC Emerg Phys | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| WHC Physician Group LLC | Surgery | Current | 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
- 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.
-
dba Bayfront Health St. Petersburg Medical Group
- Cardiovascular Disease Physician
- St Petersburg, FL
- NPI 1518572551
-
dba Bayfront Health St. Petersburg Imaging Center
- Radiology Clinic/Center
- St Petersburg, FL
- NPI 1285240192
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1306260625
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bayfront Health St Petersburg
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1154399749
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.