Individual provider Active NPI

William J Namen II, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Jacksonville Beach, FL
National Provider Identifier
1063500692
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO2208 Issued in FL
Practice address
1351 13TH Avenue South
Suite 110
Jacksonville Beach, FL 32250
Phone
(904) 636-9197
Fax
(904) 636-9282
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X PO2208 FL Primary

Addresses

Primary practice location

1351 13TH Avenue South
Suite 110
Jacksonville Beach, FL 32250

Mailing address

9310 Old Kings Rd S
Suite 1201
Jacksonville, FL 32257-6152
Phone (904) 636-9197

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070125000262 FL Practitioner - Podiatry 4284635723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9310 Old Kinds Rd S
Suite 1201
Jacksonville, FL 32257-6196

9310 Old Kings Rd S
Suite 1201
Jacksonville, FL 32257-6169
Phone (904) 636-9197

Hospital & facility affiliations

  • Tehc LLC Home health agency, Jacksonville, FL, CCN 107704
  • Brooks Rehabilitation Home Health Home health agency, Jacksonville, FL, CCN 103174
  • Baptist Home Health Care by Bayada Home health agency, Jacksonville, FL, CCN 107482
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039

Merit-based Incentive Payment System (MIPS)

Final score
99.42 of 100Reported as individual
Quality
88.84
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision25
Removal of tissue1827
Removal of skin lesions55
Removal of nail tissue961
Removal or shaving of skin growth844
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
William J Namen II DPM PA Primary Podiatric Medicine CurrentSince Nov 10, 2006 Accepting new patients
Dr. Zain Barnouti LLC Primary Podiatric Medicine PastSince Apr 2, 2016 Accepting new patients

Locations

580 W 8th St
Ste 502
Jacksonville, FL 32209
Phone (904) 353-1211

9310 Old Kings Rd S
Ste 1201
Jacksonville, FL 32257
Phone (904) 636-9197

1351 13th Ave S
Ste 110
Jax Bch, FL 32250
Phone (904) 249-9995

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDCABD/Endpoint/CDCABD

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.

Hospital & facility affiliations 7

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1063500692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 OLD KINGS RD S",
            "address_2": "SUITE 1201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576152",
            "telephone_number": "904-636-9197",
            "fax_number": "904-636-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 13TH AVENUE SOUTH",
            "address_2": "SUITE 110",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-636-9197",
            "fax_number": "904-636-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMEN",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_suffix": "II",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO2208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.