Nile Medical Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NILE MEDICAL CLINIC LLC

Doing business as

Nile Internal Medicine

Practice address

2726 Windguard Cir
Wesley Chapel, FL 33544-7361

Phone

(000) 000-0000

Fax

(000) 000-0000

NPI assigned

Feb 7, 2023

Last updated

Aug 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Al Berry, MD

Title

Manager

Phone

(386) 703-9084

Specialties & licenses 1

Addresses

Other names 1

• Nile Internal Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohamed A Gharib, MD

  • Internal Medicine Physician
  • Wesley Chapel, FL
  • NPI 1720575137
  Medicare reassignment NPD
• Mohamad Eid, M.D.

  • Internal Medicine Physician
  • Brooksville, FL
  • NPI 1265847404
  NPD (past)
• Athena Lardizabal Valencia, M.D.

  • Internal Medicine Physician
  • Wesley Chapel, FL
  • NPI 1063631240
  NPD (past)

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1093411308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 WINDGUARD CIR STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447361",
            "telephone_number": "813-907-6774",
            "fax_number": "813-907-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 WINDGUARD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447361",
            "telephone_number": "000-000-0000",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILE MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-703-9084",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nile Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nile Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rita K. Nicholson, ARNP
• Jameson Leroy Nickels, DC
• Raedyance Nicks
• Melissa Nierenhausen
• Marisol Nieva
• Esperansa Nino, D.C.
• Nippurrx Solutions (larsa pharmacy)
• Nirwana Healthcare LLC
• Nirwana Healthcare LLC
• Julie Coss Nisbet

• Internal Medicine Physician in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.