Individual provider Active NPI

Beverly Almojera Mossman, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1093750333
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME105289 Issued in FL
Practice address
5601 Timuquana Rd
Jacksonville, FL 32210-8054
Phone
(904) 771-5910
Fax
(904) 771-1401
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME105289 FL Primary

Addresses

Primary practice location

5601 Timuquana Rd
Jacksonville, FL 32210-8054

Mailing address

5601 Timuquana Rd
Jacksonville, FL 32210-8054
Phone (904) 771-5910

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100311000986 FL Practitioner - Family Practice 9234264565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belle B. Almojera, M.D., L.L.C.Group PAC ID 6608901939, 2 clinicians

Practice addresses (Care Compare)

5601 Timuquana Rd
Jacksonville, FL 32210-8054
Phone (904) 771-5910

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Belle B. Almojera, M.D., L.L.C. CurrentSince Nov 16, 2009 Accepting new patients
Belle B. Almojera, M.D., L.L.C. PastSince Nov 16, 2009 Accepting new patients

Locations

5601 Timuquana Rd
Jacksonville, FL 32210
Phone (904) 771-5910

5601 Timuquana Rd
#1
Jacksonville, FL 32210

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACIJCD/Endpoint/ACIJCD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1093750333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 TIMUQUANA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108054",
            "telephone_number": "904-771-5910",
            "fax_number": "904-771-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 TIMUQUANA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108054",
            "telephone_number": "904-771-5910",
            "fax_number": "904-771-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSMAN",
        "first_name": "BEVERLY",
        "middle_name": "ALMOJERA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME105289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.