Fernando Petry, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS9452 Issued in FL

Practice address

5850 SE Community Dr
Stuart, FL 34997-6420

Phone

(772) 247-7389

NPI assigned

Jan 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: fpetry2496530@direct.ccf.org

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.

• Blue Seas Medical LLC

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1619462272
  Medicare reassignment NPD
• Ocean Medical Associates PC

  • Hospitalist Physician
  • Port Saint Lucie, FL
  • NPI 1619160678
  NPD (past) Authorized official
• Euclid Hospital Cleveland Clinic Health System

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Atlantic Isles Inpatient Services,LLC.

  • Hospitalist Physician
  • Port St Lucie, FL
  • NPI 1205109063
  NPD (past)
• Coastal Care Corporation

  • Radiology Clinic/Center
  • Port St Lucie, FL
  • NPI 1558320556
  NPD (past)
• St Lucie Hospitalists LLC

  • Hospitalist Physician
  • Port St Lucie, FL
  • NPI 1790955060
  NPD (past)
• Jesup Emergency Services, LLC

  • Emergency Medicine Physician
  • Jesup, GA
  • NPI 1699733832
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1932187747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2998",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349952998",
            "telephone_number": "772-247-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 SE COMMUNITY DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976420",
            "telephone_number": "772-247-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRY",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9452",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS9452",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036243000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Petrell, APRN
• Michael Petri, CRNA
• Hannah Petrie
• Sarah Petrik
• Cheyenne Petrillo, DC
• Katherine Pettigrew
• Eric Alexander Pfeiffer, M. D.
• PGN Lab LLC
• Jennifer Lynn Pham
• Tuong Van Thi Pham, PHARMD

• Internal Medicine Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.