Individual provider Active NPI

Tertuliano Zeferino Coutinho, M. D.

  • Hematology & Oncology Physician
  • Sarasota, FL
National Provider Identifier
1992738058
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME0047260 Issued in FL
Practice address
3900 Clark Rd
BLDG J Suite 1
Sarasota, FL 34233-2301
Phone
(941) 921-6093
Fax
(941) 923-0243
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME0047260 FL Primary

Addresses

Primary practice location

3900 Clark Rd
BLDG J Suite 1
Sarasota, FL 34233-2301

Mailing address

3900 Clark Rd
BLDG J Suite 1
Sarasota, FL 34233-2301
Phone (941) 921-6093

Other identifiers 2

IdentifierTypeStateIssuer
042836100MedicaidFL
58489OtherFLBLUE CROSS OF FLORIDA

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
I20101014000368 FL Practitioner - Internal MedicinePractitioner - HematologyPractitioner - Medical Oncology 5496947038 Practice locations: Sarasota, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology, Medical Oncology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3900 Clark Rd
BLDG J Suite 1
Sarasota, FL 34233-2301

3900 Clark Rd
J1
Sarasota, FL 34233-2367
Phone (941) 921-6093

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166
  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0047260FLMDHematology & Oncology Physician

Hospital & facility affiliations 3

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992738058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD",
            "address_2": "BLDG J SUITE 1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332301",
            "telephone_number": "941-921-6093",
            "fax_number": "941-923-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD",
            "address_2": "BLDG J SUITE 1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332301",
            "telephone_number": "941-921-6093",
            "fax_number": "941-923-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTINHO",
        "first_name": "TERTULIANO",
        "middle_name": "ZEFERINO",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME0047260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042836100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF FLORIDA",
            "identifier": "58489",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.