NPIMap

Individual provider Active NPI

Kasey Elizabeth Treger, D.O.

  • Pulmonary Disease Physician
  • Jacksonville, FL
National Provider Identifier
1316238496
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
OS14695 Issued in FL
Practice address
655 W 8TH St
Acc 1St Floor, Primary Care Center
Jacksonville, FL 32209-6511
Phone
(904) 383-1003
Fax
(904) 244-7388
NPI assigned
Apr 25, 2011
Last updated
Jan 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X OS14695 FL Primary

Addresses

Primary practice location

655 W 8TH St
Acc 1St Floor, Primary Care Center
Jacksonville, FL 32209-6511

Mailing address

653 West 8TH St.,
Box L-18, LRC 4TH Floor
Jacksonville, FL 32209-6511
Phone (904) 383-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170929002015 FL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 5698991727 Reassigns benefits to 1 organization
I20260428000358 OR Practitioner - Pulmonary Disease 5698991727 Reassigns benefits to 2 organizations
I20260611002316 OR Practitioner - Anesthesiology 5698991727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians Intensivists of Washington PLLCGroup PAC ID 5395018808, 81 clinicians
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1111 Crater Lake Ave
Medford, OR 97504-6241
Phone (541) 732-5000

425 N Lee St
Suite 203
Jacksonville, FL 32204-1128
Phone (904) 354-8200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS14695FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc Pulmonary Disease CurrentSince Jul 19, 2017 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jul 19, 2017 Accepting new patients

Locations

3 Shircliff Way
Ste 625
Jacksonville, FL 32204
Phone (904) 308-6900

4203 Belfort Rd
Ste 108
Jacksonville, FL 32216
Phone (904) 450-6460

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

425 N Lee St
Ste 203
Jacksonville, FL 32204
Phone (904) 354-8200

300 Saint Elizabeth Way
Ste 270
St Johns, FL 32259
Phone (904) 296-3103

Interoperability endpoints

  • Direct secure messaging: kasey.treger.1@8967.direct.athenahealth.com

Organizations & group practices 5

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 5

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1316238496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 WEST 8TH ST.,",
            "address_2": "BOX L-18, LRC 4TH FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-383-1003",
            "fax_number": "904-244-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST",
            "address_2": "ACC 1ST FLOOR, PRIMARY CARE CENTER",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-383-1003",
            "fax_number": "904-244-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREGER",
        "first_name": "KASEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "OS14695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.