Active NPI
Gule Yasmeen Naeem MD
- Specialist
- Sarasota, FL
National Provider Identifier
1063609154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0067106
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251129100 | Medicaid | FL | |
| 2 | Other | FL | PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.