Active NPI
Jeffrey Anthony Sugandi, M.D.
- Surgery Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME176659
- Practice address
- 653 W 8TH St
Jacksonville, FL 32209-6511 - Phone
- (904) 383-1015
- Fax
- (904) 244-7454
- NPI assigned
- Jun 14, 2013
- Last updated
- Oct 8, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 310138 | NY | |
| Surgery Physician | 208600000X | 57101 | AZ | |
| Surgery Physician | 208600000X | MD-49785 | IA | |
| Surgery Physician | 208600000X | ME176659 | FL | Primary |
Addresses
Primary practice location
653 W 8TH St
Jacksonville, FL 32209-6511
Mailing address
653 W 8TH St
2ND Floor Faculty Clinic
Jacksonville, FL 32209-6511
Phone (904) 383-1015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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
- General Surgery
- Education
- University of Minnesota Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 575-5800
2710 Saint Francis Dr
Waterloo, IA 50702-5619
Phone (319) 272-5000
2710 Saint Francis Dr
Waterloo, IA 50702-5634
Phone (319) 272-5000
3421 W 9TH St
Waterloo, IA 50702-5401
515 College St
Cedar Falls, IA 50613-2500
Hospital & facility affiliations
- Mercyone Waterloo Medical Center
- Sartori Memorial Hospital, Inc
- Mercyone Oelwein Medical Center
- Waverly Health Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 33 |
| Melanoma (skin cancer) excision | 18 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57101 | AZ | MD | Surgery Physician |
| 310138 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center Inc | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Covenant Medical Center Inc | Past | Accepting new patients |
Locations
751 Main St
Arlington, IA 50606
Phone (563) 633-6965
226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800
200 E Ridgeway Ave
Ste 400
Waterloo, IA 50702
Phone (319) 272-2070
2710 Saint Francis Dr
Ste 410
Waterloo, IA 50702
3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050
Interoperability endpoints
- jsugandi3936729@direct.trinity-health.org
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.
-
dba MercyOne Medical Group Northeast Iowa
- Family Medicine Physician
- Waterloo, IA
- NPI 1548288160
-
dba MercyOne Evansdale home medical equipment
- Customized Equipment (DME)
- Evansdale, IA
- NPI 1851141980
-
dba MercyOne Waterloo Medical Center
- General Acute Care Hospital
- Waterloo, IA
- NPI 1700827896
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MercyOne Waterloo Medical Center
- General Acute Care Hospital
- Waterloo, IA
- NPI 1700827896
-
dba MercyOne Oelwein Medical Center
- Critical Access Hospital
- Oelwein, IA
- NPI 1528009511
-
dba MercyOne Cedar Falls Medical Center
- General Acute Care Hospital
- Cedar Falls, IA
- NPI 1942241955
-
- Critical Access Hospital
- Waverly, IA
- NPI 1447299953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1477992279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 W 8TH ST",
"address_2": "2ND FLOOR FACULTY CLINIC",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096511",
"telephone_number": "904-383-1015",
"fax_number": "904-244-7454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 W 8TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096511",
"telephone_number": "904-383-1015",
"fax_number": "904-244-7454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGANDI",
"first_name": "JEFFREY",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-14",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "310138",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "57101",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "MD-49785",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME176659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.