Active NPI
Jesus Manuel Salas Noain, M.D.
- Gastroenterology Physician
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME165328
- Practice address
- 40 Groover Loop Ste 200
St Augustine, FL 32086-6569 - Phone
- (904) 398-7205
- Fax
- (904) 823-9613
- NPI assigned
- Aug 11, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME165328 | FL | Primary |
Addresses
Primary practice location
40 Groover Loop Ste 200
St Augustine, FL 32086-6569
Mailing address
4800 Belfort Rd
Jacksonville, FL 32256-6004
Phone (904) 398-7205
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
- Gastroenterology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
40 Groover Loop
Suite 200
St Augustine, FL 32086-6564
Phone (904) 824-6108
Hospital & facility affiliations
- Flagler Hospital
- Baptist Health Medical Center - Jacksonville
- HCA Florida Putnam Hospital
- Adventhealth Palm Coast Parkway
- AdventHealth Palm Coast
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.94 of 100
- Quality
- 69.69
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 69.28
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 70 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 108 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME165328 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Borland Groover Clinic, PA | Gastroenterology | Current | Accepting new patients |
| Gastroenterology Associates of St Augustine, PA | Gastroenterology | Past | Accepting new patients |
Locations
4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084
836 Prudential Dr
Ste 801
Jacksonville, FL 32207
Phone (904) 288-0433
40 Groover Loop
Ste 200
St Augustine, FL 32086
Phone (904) 824-6108
Networks
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- FL PPO
- AL HMO
- FL HMO D-SNP
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- FL HMO
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- AL HMO D-SNP
- FL HMO C-SNP
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
Interoperability endpoints
- jesus.salasnoain.p1@direct.bgclinic.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jsalasnoain743305@direct.shands.ufl.edu
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.
-
- Gastroenterology Physician
- Jacksonville, FL
- NPI 1881644912
-
- Gastroenterology Physician
- St Augustine, FL
- NPI 1871554634
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
-
- General Acute Care Hospital
- Palatka, FL
- NPI 1487045100
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1003360645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 BELFORT RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566004",
"telephone_number": "904-398-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 GROOVER LOOP STE 200",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320866569",
"telephone_number": "904-398-7205",
"fax_number": "904-823-9613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAS NOAIN",
"first_name": "JESUS",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-11",
"last_updated": "2024-05-20",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME165328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
- Saint Augustine Rehabilitation Specialists LLC
- Saint Augustine Rehabilitation Specialists LLC
- Saint Augustine Rehabilitation Specialists LLC
- Saint Augustine Rehabilitation Specialists LLC
- Saint Johns Plastic Surgery PLLC
- Sarah Salas
- John Nagy Thabet Saleb
- Ahmed Saleh, MD
- Christina Danielle Salemo
- Kyla Salmond, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.