Active NPI
Rehan Mohammed Naseemuddin, M.D.
- Gastroenterology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME144454
- Practice address
- 836 Prudential Dr Ste 801
Jacksonville, FL 32207-8258 - Phone
- (904) 288-0433
- Fax
- (904) 288-8996
- NPI assigned
- May 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME144454 | FL | Primary |
Addresses
Primary practice location
836 Prudential Dr Ste 801
Jacksonville, FL 32207-8258
Mailing address
4800 Belfort Rd
Jacksonville, FL 32256-6004
Phone (904) 483-5826
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107373200 | Medicaid | FL |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Alabama School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1824 King St
Suite 300
Jacksonville, FL 32204-4736
Phone (386) 788-1242
4800 Belfort Rd
Jacksonville, FL 32256-6004
Phone (904) 398-7205
836 Prudential Dr
Suite 801
Jacksonville, FL 32207-8335
Phone (904) 288-0433
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center - Nassau
- Baptist Medical Center Beaches
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.94 of 100
- Quality
- 69.69
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 69.28
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 69 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 118 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Borland Groover Clinic, PA | Gastroenterology | Current | Accepting new patients |
Locations
836 Prudential Dr
Ste 801
Jacksonville, FL 32207
Phone (904) 288-0433
4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084
52 Tuscan Way
Ste 203
St Augustine, FL 32092
Phone (904) 824-1450
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- rehan.naseemuddin@hca5.eclinicaldirectplus.com
- rehan.naseemuddin.p1@direct.bgclinic.nextgenshare.com
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Jacksonville, FL
- NPI 1881644912
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1083024715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 BELFORT RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566004",
"telephone_number": "904-483-5826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 PRUDENTIAL DR STE 801",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078258",
"telephone_number": "904-288-0433",
"fax_number": "904-288-8996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASEEMUDDIN",
"first_name": "REHAN",
"middle_name": "MOHAMMED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-02",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME144454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107373200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.