Individual provider Active NPI

Jesse Corey Boodoo, MD

  • Rheumatology Physician
  • Sarasota, FL
National Provider Identifier
1346689775
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME134952 Issued in FL
Practice address
1945 Versailles St FL 2
Sarasota, FL 34239-6900
Phone
(941) 365-0770
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME134952 FL Primary

Addresses

Primary practice location

1945 Versailles St FL 2
Sarasota, FL 34239-6900

Mailing address

1945 Versailles St
Sarasota, FL 34239-6900
Phone (941) 365-0770

Other practice location 1

411 Commercial Ct Ste D
Venice, FL 34292-1650
Phone (941) 484-4409

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jesse.boodoo@direct.sarasotaarthritis.nextgenshare.com
Direct Messaging Address jesse.boodoo@direct.sarasotaarthritis.nextgenshare.com

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
I20180814001998 FL Practitioner - RheumatologyPractitioner - Internal Medicine 9234407818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weitzner Yonker and Kaine MD PAGroup PAC ID 3072598655, 16 clinicians

Practice addresses (Care Compare)

1945 Versailles St
FL 2
Sarasota, FL 34239-6900
Phone 94136507701028

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

Merit-based Incentive Payment System (MIPS)

Final score
98.2 of 100Reported as group
Quality
100
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Weitzner Yonker & Kaine MD PA Rheumatology CurrentSince Jun 30, 2018 Accepting new patients

Locations

6020 State Road 70 E
Unit 103
Bradenton, FL 34203
Phone (941) 567-4021

1945 Versailles St
Fl 2
Sarasota, FL 34239
Phone (941) 365-0770

1945 Versailles St
Sarasota, FL 34239
Phone (941) 365-0770

411 Commercial Ct
Ste D
Venice, FL 34292
Phone (941) 484-4409

Organizations & group practices 1

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 2

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1346689775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 VERSAILLES ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396900",
            "telephone_number": "941-365-0770",
            "fax_number": "941-955-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 VERSAILLES ST FL 2",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396900",
            "telephone_number": "941-365-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Commercial Ct Ste D",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342921650",
            "country_code": "US",
            "telephone_number": "941-484-4409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOODOO",
        "first_name": "JESSE",
        "middle_name": "COREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME134952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jesse.boodoo@direct.sarasotaarthritis.nextgenshare.com",
            "affiliation": "N",
            "address_1": "411 Commercial Ct Ste D",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342921650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jesse.boodoo@direct.sarasotaarthritis.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1945 Versailles St Fl 2",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342396900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.