Individual provider Active NPI

Jaroslav F Ondrusek, MD

  • Infectious Disease Physician
  • Fort Lauderdale, FL
National Provider Identifier
1396799383
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME69418 Issued in FL
Practice address
2817 East Oakland Park Blvd
Suite 100
Fort Lauderdale, FL 33306-1889
Phone
(954) 302-3750
Fax
(954) 343-1016
NPI assigned
May 22, 2006
Last updated
Nov 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME69418 FL Primary

Addresses

Primary practice location

2817 East Oakland Park Blvd
Suite 100
Fort Lauderdale, FL 33306-1889

Mailing address

2598 NW 27TH St
Boca Raton, FL 33434-3654
Phone (954) 303-3750

Other identifiers 1

IdentifierTypeStateIssuer
379380000MedicaidFL

Other names 1

  • Jerry F Ondrusek Other name

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
I20080111000151 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 8426145061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease Consultants PAGroup PAC ID 1658325840, 5 clinicians

Practice addresses (Care Compare)

2901 Coral Hills Dr
Suite 220
Coral Springs, FL 33065-4146

3100 Coral Hills Dr
Suite 205
Coral Springs, FL 33065-4139
Phone (954) 345-0404

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME69418FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Consultants PA Infectious Disease CurrentSince Apr 1, 2013 Accepting new patients
Dr Arthur B Korbel Inc Past Accepting new patients
Jerry F Ondrusek MD PA Infectious Disease PastSince Apr 25, 2007 Accepting new patients

Locations

2901 Coral Hills Dr
Ste 220
Coral Springs, FL 33065
Phone (954) 345-0404

3100 Coral Hills Dr
Ste 205
Coral Springs, FL 33065
Phone (954) 341-1520

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1396799383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2598 NW 27TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343654",
            "telephone_number": "954-303-3750",
            "fax_number": "954-343-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 EAST OAKLAND PARK BLVD",
            "address_2": "SUITE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061889",
            "telephone_number": "954-302-3750",
            "fax_number": "954-343-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDRUSEK",
        "first_name": "JAROSLAV",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME69418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379380000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRY",
            "last_name": "ONDRUSEK",
            "middle_name": "F",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.