MRS. MAHOGANY JERVON AMBROSE M.D.
NPI 1316300940
Radiology - Diagnostic Radiology in Fort Myers, FL

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
14551 HOPE CENTER LOOP STE 100, FORT MYERS, FL 33912(239) 936-2316 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2025, Jul 27, 2021, Mar 31, 2016 (3 updates tracked since 2016).

About Mrs. Mahogany Jervon Ambrose M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MAHOGANY JERVON AMBROSE M.D. (NPI 1316300940) is an individual diagnostic radiology provider in Fort Myers, Florida, licensed in Florida (ME166935) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (2016).

NPPES Registry Identity

NPI1316300940
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameMRS. MAHOGANY JERVON AMBROSECredential: M.D.
Location Address14551 HOPE CENTER LOOP STE 100Fort Myers, FL 33912-4705
Mailing Address3660 BroadwayFort Myers, FL 33901-8005 · (239) 936-2316
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2016
Enumeration DateMarch 31, 2016
Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
NPI 1316300940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in FL · ME166935 Licensed in VI · 3377
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
14551 HOPE CENTER LOOP STE 100, Fort Myers, FL 33912

Other Names 1

Former Name (1)Mahogany Jervon Merrifield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mahogany Jervon Ambrose M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567755697
PECOS Enrollment IDI20220610000225
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 51

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
23,101 services212 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
8,774 services84 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
578 services578 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
494 services494 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
490 services490 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
248 services246 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912
Radiology (Diagnostic Radiology)
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912
Radiology (Diagnostic Radiology)
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912
Radiology (Diagnostic Radiology)
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912
Radiology (Diagnostic Radiology)
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912
Radiology (Diagnostic Radiology)
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912
Radiology (Diagnostic Radiology)
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912
Radiology (Diagnostic Radiology)
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mahogany Ambrose's NPI number?

The NPI number for Mahogany Ambrose is 1316300940. It was assigned to this individual provider in the NPPES registry on March 31, 2016. The provider is also known as Mahogany Jervon Merrifield.

Where is Mahogany Ambrose located?

Mahogany Ambrose practices at 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912. The listed phone number is (239) 936-2316.

What is Mahogany Ambrose's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mahogany Ambrose enrolled in Medicare?

Yes. Mahogany Ambrose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mahogany Ambrose was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.