Individual provider Active NPI

Omer Ismaeel, MD

  • Internal Medicine Physician
  • Orange Park, FL
National Provider Identifier
1104389469
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME162466 Issued in FL
Practice address
2140 Kingsley Ave Ste 1
Orange Park, FL 32073-5129
Phone
(904) 368-6809
NPI assigned
Apr 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME162466 FL Primary
Hospitalist Physician 208M00000X ME162466 FL

Addresses

Primary practice location

2140 Kingsley Ave Ste 1
Orange Park, FL 32073-5129

Mailing address

2307 Lakehore Dr North
Fleming Island, FL 32003
Phone (904) 993-4272

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
I20230828003001 FL Practitioner - Internal Medicine 1456688423 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hni Medical Services of Florida, LLCGroup PAC ID 7517202112, 104 clinicians
Harbor Physicians LLCGroup PAC ID 8325408784, 2 clinicians
Inpatient Consultants of Florida, IncGroup PAC ID 4789614785, 158 clinicians

Practice addresses (Care Compare)

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (512) 730-3056

1670 St Vincents Way
Middleburg, FL 32068-8447
Phone (512) 730-3056

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (440) 542-5000

205 Trinity Way
St Johns, FL 32259-1155
Phone (904) 450-8120

2140 Kingsley Ave
Suite 1
Orange Park, FL 32073-5129
Phone (904) 368-6809

3625 University S Blvd
Jacksonville, FL 32216-4207
Phone (904) 399-6111

Hospital & facility affiliations

  • Ascension St Vincent'S St Johns County Hospital, St. Johns, FL, CCN 100361
  • Ascension St Vincent'S Clay County Hospital, Middleburg, FL, CCN 100321
  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME162466FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Specialty Group, LLC CurrentSince Oct 8, 2023 Accepting new patients
Hni Medical Services of Florida, LLC Internal Medicine CurrentSince Aug 15, 2023 Accepting new patients
Hni Hospital Services of Florida, LLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Harbor Physicians LLC CurrentSince Nov 27, 2023 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

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

4901 Richard St
Jacksonville, FL 32207
Phone (904) 425-0500

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

2140 Kingsley Ave
Orange Park, FL 32073
Phone (904) 213-0600

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

225 College Dr
Unit 65301
Orange Park, FL 32065

2140 Kingsley Ave
Ste 1
Orange Park, FL 32073
Phone (904) 272-7500

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • Direct secure messaging: omer.ismaeel@hca5.eclinicaldirectplus.com

Organizations & group practices 6

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 4

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": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1104389469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 LAKEHORE DR NORTH",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "32003",
            "telephone_number": "904-993-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 KINGSLEY AVE STE 1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735129",
            "telephone_number": "904-368-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAEEL",
        "first_name": "OMER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME162466",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME162466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.