Individual provider Active NPI

Jeremy Bergamo, MD

  • Urology Physician
  • Sarasota, FL
National Provider Identifier
1619324019
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME150870 Issued in FL
Practice address
1 S School Ave Ste 200
Sarasota, FL 34237-6047
Phone
(941) 309-7000
NPI assigned
May 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME150870 FL Primary

Addresses

Primary practice location

1 S School Ave Ste 200
Sarasota, FL 34237-6047

Mailing address

1 S School Ave Ste 200
Sarasota, FL 34237-6047

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
I20210716000199 FL Practitioner - Urology 6507144706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

1 S School Ave
Suite 200
Sarasota, FL 34237-6047
Phone (941) 917-8488

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Urology CurrentSince Sep 1, 2021 Accepting new patients
Florida Urology Specialists Urology Current Accepting new patients
Genesiscare USA of Florida LLC Urology CurrentSince Sep 1, 2021 Accepting new patients
Genesiscare USA of Florida LLC Urology Current Accepting new patients

Locations

2270 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 344-2391

6310 Health Park Way
Ste 210
Lakewood Ranch, FL 34202
Phone (941) 744-0024

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

2345 Bobcat Village Center Rd
Unit 201
North Port, FL 34288
Phone (941) 379-6331

1 S School Ave
Ste 200
Sarasota, FL 34237

1 S School Ave
Ste 104
Sarasota, FL 34237

195 Center Rd
Ste B
Venice, FL 34285
Phone (941) 492-6227

901 Tamiami Trl S
Venice, FL 34285
Phone (941) 484-3531

842 Sunset Lake Blvd
Ste 403
Venice, FL 34292
Phone (941) 485-3351

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jeremybergamo@fus.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1619324019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S SCHOOL AVE STE 200",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S SCHOOL AVE STE 200",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376047",
            "telephone_number": "941-309-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGAMO",
        "first_name": "JEREMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2021-07-25",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME150870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.