Individual provider Active NPI

Jehanzeb Bilal, M.D

  • Nephrology Physician
  • Sarasota, FL
National Provider Identifier
1063742377
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME131099 Issued in FL
Practice address
3801 Bee Ridge Rd Ste 1
Sarasota, FL 34233-1158
Phone
(941) 922-4498
Fax
(941) 922-4572
NPI assigned
Jan 8, 2010
Last updated
Apr 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 46019 KY
Nephrology Physician 207RN0300X ME131099 FL Primary
Nephrology Physician 207RN0300X 25MA09130100 NJ
Nephrology Physician 207RN0300X 25211 WV
Nephrology Physician 207RN0300X 0101257258 VA

Addresses

Primary practice location

3801 Bee Ridge Rd Ste 1
Sarasota, FL 34233-1158

Mailing address

3801 Bee Ridge Rd Ste 1
Sarasota, FL 34233-1158
Phone (941) 922-4498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130814000802 WV Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Nephrology 5193967586 Reassigns benefits to 1 organization
I20170801003621 FL Practitioner - Nephrology 5193967586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Nephrology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern West Virginia Nephrology AssociatesGroup PAC ID 0345421046, 2 clinicians
National Kidney Partners LLPGroup PAC ID 7012981350, 63 clinicians

Practice addresses (Care Compare)

300 Prosperity LN
Suite 203
Logan, WV 25601-3743
Phone (304) 752-8800

3801 Bee Ridge Rd
Suite 1
Sarasota, FL 34233-1158
Phone (941) 922-4498

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME131099FLMDNephrology Physician
25MA09130100NJMDNephrology Physician
0101257258VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Kidney Partners, LLP Nephrology CurrentSince Jul 1, 2017 Accepting new patients
Ghazala Quddus, M.D., Inc. Nephrology PastSince Jul 1, 2013 Accepting new patients

Locations

14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418

5504 Pinebrook Rd
Ste 203
Nokomis, FL 34275
Phone (941) 488-2881

1307 S Tamiami Trl
Osprey, FL 34229
Phone (941) 300-9111

3801 Bee Ridge Rd
Ste 1
Sarasota, FL 34233
Phone (941) 922-4498

5831 Bee Ridge Rd
Ste 207
Sarasota, FL 34233
Phone (954) 771-3929

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jbilal77164@direct.acumenmd.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1063742377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BEE RIDGE RD STE 1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331158",
            "telephone_number": "941-922-4498",
            "fax_number": "941-922-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BEE RIDGE RD STE 1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331158",
            "telephone_number": "941-922-4498",
            "fax_number": "941-922-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILAL",
        "first_name": "JEHANZEB",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-08",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "46019",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME131099",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA09130100",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "25211",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101257258",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.