Active NPI
Feguens Joseph Bataille, M.D.
- Physical Medicine & Rehabilitation Physician
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME135385
- Practice address
- 348 Miracle Strip Pkwy SW Ste 16a
Fort Walton Beach, FL 32548 - Phone
- (412) 901-1250
- NPI assigned
- Feb 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | ME135385 | FL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | ME135385 | FL | Primary |
Addresses
Primary practice location
348 Miracle Strip Pkwy SW Ste 16a
Fort Walton Beach, FL 32548
Mailing address
4320 Commons Dr W Unit 2216
Destin, FL 32541-8648
Phone (412) 901-1250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109312 | Medicaid | OH | |
| 1026242300001 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Pittsburgh School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5005 Port St John Pkwy
Suite 2100
Port St John, FL 32927-4305
Phone (321) 268-6834
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- Quality
- 75.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME135385 | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Brevard Medical Support, Inc | Current | Accepting new patients | |
| North Brevard Medical Support, Inc | Current | Accepting new patients |
Locations
5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556
5005 Port St John Pkwy
Ste 2100
Port St John, FL 32927
Phone (321) 268-6834
250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
Interoperability endpoints
- feguens.bataille.1@17832.direct.athenahealth.com
Organizations & group practices 2
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.
-
dba Parrish Medical Group
- Multi-Specialty Clinic/Center
- Titusville, FL
- NPI 1609834886
-
- Sports Medicine Podiatrist
- Port St John, FL
- NPI 1316611049
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1942478581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 COMMONS DR W UNIT 2216",
"city": "DESTIN",
"state": "FL",
"postal_code": "325418648",
"telephone_number": "412-901-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 MIRACLE STRIP PKWY SW STE 16A",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "32548",
"telephone_number": "412-901-1250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATAILLE",
"first_name": "FEGUENS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-18",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME135385",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME135385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0109312",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026242300001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.
- 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.