Active NPI
Herbert Ullmer Pegues II, MD
- Family Medicine Physician
- Sarasota, FL
National Provider Identifier
1295792513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME42698
- Practice address
- 8451 Shade Ave
Suite 206
Sarasota, FL 34243-2878 - Phone
- (941) 779-3553
- NPI assigned
- Apr 28, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME42698 | FL | Primary |
Addresses
Primary practice location
8451 Shade Ave
Suite 206
Sarasota, FL 34243-2878
Mailing address
8437 Tuttle Ave
362
Sarasota, FL 34243-2868
Phone (941) 779-3553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manatee Physician Alliance LLC | Past | Accepting new patients | |
| Optumcare Florida, LLC | Past | Accepting new patients | |
| Manatee Physician Alliance, LLC | Family Medicine | Past | Accepting new patients |
| Lakewood Ranch Medical Group LLC | Family Medicine | Past | Accepting new patients |
| Aldrich Cardiovascular Institute | Past | Accepting new patients | |
| Advanced Pain Management Inc | Past | Accepting new patients |
Interoperability endpoints
- herbert.pegues@ipmeast.cernerdirect.com
- https://fhir4.healow.com/fhir/r4/EADACD
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Lakewood Ranch, FL
- NPI 1184614851
-
- Family Medicine Physician
- Lakewood Ranch, FL
- NPI 1093975062
-
- Internal Medicine Physician
- Lakewood Ranch, FL
- NPI 1700181005
-
- Family Medicine Physician
- Bradenton, FL
- NPI 1588970446
-
- Hospitalist Physician
- Tampa, FL
- NPI 1659884294
-
- Interventional Pain Medicine Physician
- Stoneham, MA
- NPI 1770685877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1295792513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8437 TUTTLE AVE",
"address_2": "362",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342432868",
"telephone_number": "941-779-3553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8451 SHADE AVE",
"address_2": "SUITE 206",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342432878",
"telephone_number": "941-779-3553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEGUES",
"first_name": "HERBERT",
"middle_name": "ULLMER",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME42698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.