Active NPI
Jay Kernus, DO
- Emergency Medicine Physician
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS8488
- Practice address
- 10101 W Forest Hill Blvd
Wellington, FL 33414-6103 - Phone
- (561) 798-8535
- NPI assigned
- Jun 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS8488 | FL | Primary |
Addresses
Primary practice location
10101 W Forest Hill Blvd
Wellington, FL 33414-6103
Mailing address
PO Box 24085
Fort Worth, TX 76124-1085
Phone (817) 451-4208
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03117 | Other | FL | BLUECROSS BLUE SHIELD |
| 262064200 | Medicaid | FL | |
| P00287847 | Other | FL | RAILROAD MEDICARE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051219000492 | FL | Practitioner - Emergency Medicine | 6800818899 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Em Alliance LLC
Practice addresses (Care Compare)
10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (904) 334-0910
Hospital & facility affiliations
- Wellington Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Em Alliance LLC | Emergency Medicine | Current | Accepting new patients |
| Truepartners Westlake Emergency Specialists PLLC | Emergency Medicine | Past | Accepting new patients |
| Inphynet Contracting Services LLC | Emergency Medicine | Past | Accepting new patients |
| Colonial Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372
10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301
16750 Persimmon Blvd
Westlake, FL 33470
Phone (561) 791-7200
7 Easton Oval
#L4387
Columbus, OH 43219
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.
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
Emergency Medicine
-
- Emergency Medicine Physician
- Westlake, FL
- NPI 1295290393
Emergency Medicine
-
- Emergency Medicine Physician
- Lansdale, PA
- NPI 1609828656
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wellington, FL
- NPI 1720078702
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1962441048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24085",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761241085",
"telephone_number": "817-451-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 W FOREST HILL BLVD",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146103",
"telephone_number": "561-798-8535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNUS",
"first_name": "JAY",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS8488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "03117",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262064200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00287847",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.