Individual provider Active NPI

Jennifer Endaya Fergeson, DO

  • Allergy & Immunology Physician
  • Sarasota, FL
National Provider Identifier
1326337577
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
OS12455 Issued in FL
Practice address
3570 S Tuttle Ave
Sarasota, FL 34239-6405
Phone
(941) 927-4888
Fax
(941) 927-5808
NPI assigned
Mar 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS12455 FL
Allergy & Immunology Physician 207K00000X OS12455 FL Primary

Addresses

Primary practice location

3570 S Tuttle Ave
Sarasota, FL 34239-6405

Mailing address

3570 S Tuttle Ave
Sarasota, FL 34239-6405
Phone (941) 927-4888

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161018000956 FL Practitioner - Allergy/Immunology 1759679103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hugh H Windom MD PAGroup PAC ID 1658558176, 4 clinicians

Practice addresses (Care Compare)

3570 S Tuttle Ave
Sarasota, FL 34239-6405
Phone (941) 927-4888

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hugh H Windom MD PA Allergy & Immunology CurrentSince Aug 1, 2016 Accepting new patients
Pediatric Gastroenterology Hepatology & Nutrition of FL P a PastSince Feb 15, 2020 Accepting new patients
Sarasota FL Clinical Research, LLC PastSince Mar 13, 2022 Accepting new patients

Locations

3570 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 927-4888

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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.

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": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1326337577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 S TUTTLE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396405",
            "telephone_number": "941-927-4888",
            "fax_number": "941-927-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 S TUTTLE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396405",
            "telephone_number": "941-927-4888",
            "fax_number": "941-927-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGESON",
        "first_name": "JENNIFER",
        "middle_name": "ENDAYA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS12455",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "OS12455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.