Active NPI
Jean Perrault, M.D.
- Gastroenterology Physician
- Sarasota, FL
National Provider Identifier
1427028505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME 80935
- Practice address
- 1900 Brother Geenen Way
Sarasota, FL 34236-7102 - Phone
- (941) 556-3220
- Fax
- (941) 955-8214
- NPI assigned
- Jan 23, 2006
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME 80935 | FL | Primary |
Addresses
Primary practice location
1900 Brother Geenen Way
Sarasota, FL 34236-7102
Mailing address
2350 Scenic Dr
Venice, FL 34293-1510
Phone (941) 861-3220
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088721800 | Medicaid | MN | |
| 100001785 | Other | MN | RAILROAD MEDICARE |
| ENROLLED | Medicaid | IA | |
| 32216100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 80935 | FL | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1427028505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 SCENIC DR",
"city": "VENICE",
"state": "FL",
"postal_code": "342931510",
"telephone_number": "941-861-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 BROTHER GEENEN WAY",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342367102",
"telephone_number": "941-556-3220",
"fax_number": "941-955-8214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRAULT",
"first_name": "JEAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME 80935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "088721800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100001785",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32216100",
"state": "WI"
}
],
"endpoints": [],
"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 Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.