Active NPI
Jesse Corey Boodoo, MD
- Rheumatology Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- ME134952
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1945 Versailles St
FL 2
Sarasota, FL 34239-6900
Phone 94136507701028
Hospital & facility affiliations
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.2 of 100
- Quality
- 100
- Promoting interoperability
- 94
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weitzner Yonker & Kaine MD PA | Rheumatology | Current | 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.
-
- Rheumatology Physician
- Sarasota, FL
- NPI 1659358927
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.