NPIMap

Individual provider Active NPI

Nagy Saber Farag

  • Family Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1003885815
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME81763 Issued in FL
Practice address
7043 US Highway 1
Port St Lucie, FL 34952-1401
Phone
(727) 309-1412
Fax
(352) 564-4222
NPI assigned
Mar 15, 2006
Last updated
Mar 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 217452 NY
Emergency Medicine Physician 207P00000X ME81763 FL
Family Medicine Physician 207Q00000X ME81763 FL Primary

Addresses

Primary practice location

7043 US Highway 1
Port St Lucie, FL 34952-1401

Mailing address

7043 S US Highway 1
Port St Lucie, FL 34952-1401
Phone (727) 309-1412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81763FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Quality Drive Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Advance Technological Radiology, PA Past Accepting new patients
Sabal Palm Emergency Physicians Emergency Medicine Past Accepting new patients
Hand & Shoulder Institute of Florida Corporation Past Accepting new patients
Parkland Emergency Associates PA Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Pasco Emergency Physicians LLC Emergency Medicine Past Accepting new patients
FC Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Clover Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emergency Physician Specialists Inc Emergency Medicine PastSince Feb 1, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nagy.farag@25254316.chartlogic.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1003885815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7043 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521401",
            "telephone_number": "727-309-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7043 US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521401",
            "telephone_number": "727-309-1412",
            "fax_number": "352-564-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAG",
        "first_name": "NAGY",
        "middle_name": "SABER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "217452",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME81763",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME81763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.