Jerel C David, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME166311 Issued in FL

Practice address

1871 SE Tiffany Ave Ste 100
Port St Lucie, FL 34952-7585

Phone

(772) 363-5566

Fax

(772) 335-3781

NPI assigned

Jun 7, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Hematology/Oncology

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hem Onc Associates of the Treasure Coast, PAGroup PAC ID 2961416136, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246
• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
• St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260

Merit-based Incentive Payment System (MIPS)

Final score

92.62 of 100Reported as group

Quality

78.28

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hem Onc Associates of the Treasure Coast, PA

  • Medical Oncology Physician
  • Port St Lucie, FL
  • NPI 1205882867
  Medicare reassignment Care Compare group NPD
• Hem Onc Associates of the Treasure Coast, PA

  • Hematology & Oncology Physician
  • Stuart, FL
  • NPI 1477807477
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Port St Lucie, FL
  • NPI 1538115696
  Care Compare affiliation
• Lawnwood Medical Center Inc

  • General Acute Care Hospital
  • Fort Pierce, FL
  • NPI 1568409647
  Care Compare affiliation
• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1457844151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 SE TIFFANY AVE STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527585",
            "telephone_number": "772-408-5151",
            "fax_number": "772-335-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 SE TIFFANY AVE STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527585",
            "telephone_number": "772-363-5566",
            "fax_number": "772-335-3781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2081 SE Ocean Blvd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349963348",
            "country_code": "US",
            "telephone_number": "772-223-5982",
            "fax_number": "772-223-5998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 SW Chamber Ct Ste 300",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349863414",
            "country_code": "US",
            "telephone_number": "772-336-2992",
            "fax_number": "772-340-7647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Nebraska Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349504831",
            "country_code": "US",
            "telephone_number": "772-464-0880",
            "fax_number": "772-466-9348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "JEREL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "010030",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME166311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy R Dasilva, DNP, MSN, ARNP, FNP
• Charlene M Daumke, RPH
• David J. Krynauw, DDS, PA
• David R Matos Occupational Therapy Services LLC
• David Torres, M.D., P.a.
• Deborah Gail Davidson, LCSW
• Tricia Shereen Davidson, COTA/L
• Sandra Davila
• Lois E Davis-Leath, RPH
• Chantenette Lashay Davis

• Hematology & Oncology Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.

Verify at the official NPI Registry.