Organization Active NPI

Gule Yasmeen Naeem MD

  • Specialist
  • Sarasota, FL
National Provider Identifier
1063609154
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0067106 Issued in FL
Legal business name
GULE YASMEEN NAEEM MD
Practice address
1219 S East Ave Ste 102
Sarasota, FL 34239-2351
Phone
(941) 953-2900
Fax
(941) 953-2428
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Gule Yasmeen Naeem, M.D.NPI 1164485629
Title
Owner
Phone
(941) 953-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0067106 FL Primary

Addresses

Primary practice location

1219 S East Ave Ste 102
Sarasota, FL 34239-2351

Mailing address

1219 S East Ave Ste 102
Sarasota, FL 34239-2351
Phone (941) 953-2900

Other identifiers 2

IdentifierTypeStateIssuer
251129100MedicaidFL
2OtherFLPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041207000332 FL Part B Supplier - Clinic/Group Practice 7315903820 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sarasota, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1063609154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 S EAST AVE STE 102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392351",
            "telephone_number": "941-953-2900",
            "fax_number": "941-953-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 S EAST AVE STE 102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392351",
            "telephone_number": "941-953-2900",
            "fax_number": "941-953-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULE YASMEEN NAEEM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "NAEEM",
        "authorized_official_first_name": "GULE",
        "authorized_official_middle_name": "YASMEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-953-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0067106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251129100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "2",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.