NPIMap

Individual provider Active NPI

Subashini Anand, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1043370752
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME99280 Issued in FL
Practice address
6699 Gate Pkwy Ste B
Jacksonville, FL 32256-8075
Phone
(904) 450-8140
Fax
(904) 450-8179
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME99280 FL Primary

Addresses

Primary practice location

6699 Gate Pkwy Ste B
Jacksonville, FL 32256-8075

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623

Other identifiers 1

IdentifierTypeStateIssuer
2797097-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071219000655 FL Practitioner - Family Practice 7719077395 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent'S Ambulatory Care Inc 303 clinicians

Practice addresses (Care Compare)

6699 Gate Pkwy
Suite B
Jacksonville, FL 32256-8075
Phone (904) 450-8140

Hospital & facility affiliations

  • Ascension Health at Home of Florida 1 LLC Home health agency, Jacksonville, FL, CCN 683147
  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME99280FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Feb 1, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Nov 1, 2007 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Nov 1, 2007 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Feb 1, 2019 Accepting new patients
University of Florida Jacksonville Physicians Inc Family Medicine CurrentSince Jan 2, 2019 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

6699 Gate Pkwy
Ste B
Jacksonville, FL 32256
Phone (904) 450-8140

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

Interoperability endpoints

  • Direct secure messaging: subashini.anand.1@8967.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1043370752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 GATE PKWY STE B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568075",
            "telephone_number": "904-450-8140",
            "fax_number": "904-450-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAND",
        "first_name": "SUBASHINI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME99280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2797097-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.