Individual provider Active NPI

Jennifer T Plush, MD

  • Dermatology Physician
  • Sarasota, FL
National Provider Identifier
1700818515
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME92484 Issued in FL
Practice address
5969 Cattleridge Blvd Ste 102
Sarasota, FL 34232-6050
Phone
(941) 379-6647
Fax
(941) 379-0611
NPI assigned
Jul 6, 2006
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME92484 FL Primary
MOHS-Micrographic Surgery Physician 207ND0101X ME 92484 FL

Addresses

Primary practice location

5969 Cattleridge Blvd Ste 102
Sarasota, FL 34232-6050

Mailing address

5969 Cattleridge Blvd Ste 102
Sarasota, FL 34232-6050
Phone (941) 379-6647

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
I20050917000141 FL Practitioner - Dermatology 4880627249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5969 Cattleridge Blvd
Suite 102
Sarasota, FL 34232-6050
Phone (941) 379-6647

Merit-based Incentive Payment System (MIPS)

Final score
98.53 of 100Reported as individual
Quality
97.07
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision233
Removal of skin lesions2356
Removal or shaving of skin growth1-10
Skin biopsy1225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 92484FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Dermatology Associates Inc Single Specialty CurrentSince Jul 12, 2005 Accepting new patients

Locations

5741 Bee Ridge Rd
Ste 450
Sarasota, FL 34233
Phone (941) 214-2864

5969 Cattleridge Blvd
Ste 102
Sarasota, FL 34232
Phone (941) 377-9993

Interoperability endpoints

  • Direct secure messaging: jenn@ameriderm.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1700818515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5969 CATTLERIDGE BLVD STE 102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326050",
            "telephone_number": "941-379-6647",
            "fax_number": "941-379-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5969 CATTLERIDGE BLVD STE 102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326050",
            "telephone_number": "941-379-6647",
            "fax_number": "941-379-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUSH",
        "first_name": "JENNIFER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME92484",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME 92484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.