Individual provider Active NPI

Marcela Ioana Dobren, MD

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1104197979
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME113433 Issued in FL
Practice address
820 Prudential Dr Ste 304
Credentialing Department
Jacksonville, FL 32207-8205
Phone
(904) 202-3860
Fax
(904) 202-3846
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME113433 FL Primary

Addresses

Primary practice location

820 Prudential Dr Ste 304
Credentialing Department
Jacksonville, FL 32207-8205

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-2092

Other practice location 1

1 Fleet Landing Blvd
Atlantic Beach, FL 32233
Phone (904) 246-9900

Other practice location 2

11401 Old Saint Augustine Rd
Jacksonville, FL 32258-1402
Phone (904) 260-1818

Other identifiers 2

IdentifierTypeStateIssuer
006508800MedicaidFL
P01111383OtherFLRR MEDICARE

Other names 1

  • Marcela I Pop Former name

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
I20121008000662 FL Practitioner - Internal MedicinePractitioner - Pain ManagementPractitioner - Hospitalist 6800045816 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pain Management
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Hospitalists PAGroup PAC ID 3274591631, 19 clinicians
Symphony Specialty Group, LLCGroup PAC ID 7719340850, 14 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32217
Phone (904) 493-3390

8613 Old Kings Rd S
Suite 602
Jacksonville, FL 32217-4863
Phone (904) 493-3390

Hospital & facility affiliations

  • Community Hospice of Northeast Florida Inc Hospice, Jacksonville, FL, CCN 101500
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Cypress Village Nursing home, Jacksonville, FL, CCN 105745
  • Dolphin Pointe Health Care Center Nursing home, Jacksonville, FL, CCN 106135
  • Life Care Center of Orange Park Nursing home, Orange Park, FL, CCN 105928
  • Life Care Center of Jacksonville Nursing home, Jacksonville, FL, CCN 106064
  • Life Care Center at Wells Crossing Nursing home, Orange Park, FL, CCN 105962

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc CurrentSince Sep 1, 2012 Accepting new patients
Baptist Primary Care Inc Internal Medicine Current Accepting new patients
Jacksonville Hospitalists PA Internal Medicine CurrentSince Feb 20, 2025 Accepting new patients
Baptist Primary Care Inc CurrentSince Sep 1, 2012 Accepting new patients
Symphony Specialty Group, LLC CurrentSince Feb 20, 2025 Accepting new patients

Locations

820 Prudential Dr
Ste 304
Jacksonville, FL 32207
Phone (904) 202-3860

11401 Old Saint Augustine Rd
Jacksonville, FL 32258
Phone (904) 260-1818

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

1 Fleet Landing Blvd
Jacksonville, FL 32233
Phone (904) 246-9900

8613 Old Kings Rd S
Ste 602
Jacksonville, FL 32217
Phone (904) 493-3390

Organizations & group practices 5

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1104197979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR STE 304",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078205",
            "telephone_number": "904-202-3860",
            "fax_number": "904-202-3846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Fleet Landing Blvd",
            "address_purpose": "LOCATION",
            "city": "Atlantic Beach",
            "state": "FL",
            "postal_code": "32233",
            "country_code": "US",
            "telephone_number": "904-246-9900",
            "fax_number": "904-246-8290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11401 Old Saint Augustine Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322581402",
            "country_code": "US",
            "telephone_number": "904-260-1818",
            "fax_number": "904-260-4182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBREN",
        "first_name": "MARCELA",
        "middle_name": "IOANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME113433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006508800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01111383",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELA",
            "last_name": "POP",
            "middle_name": "I",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.