NPIMap

Individual provider Active NPI

Jawad Samir Farhat, MD

  • Internal Medicine Physician
  • St Augustine, FL
National Provider Identifier
1114034709
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME74226 Issued in FL
Practice address
1000 Plantation Island Dr S Ste 9
Saint Augustine, FL 32080-3106
Phone
(904) 460-9191
Fax
(904) 471-4859
NPI assigned
Aug 23, 2006
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME74226 FL
Internal Medicine Physician 207R00000X ME74226 FL Primary

Addresses

Primary practice location

1000 Plantation Island Dr S Ste 9
Saint Augustine, FL 32080-3106

Mailing address

1000 Plantation Island Dr S Ste 9
Saint Augustine, FL 32080-3106
Phone (904) 460-9191

Other practice location 1

1301 Plantation Island Drive
Suite 106A
Saint Augustine, FL 32080
Phone (904) 460-9191

Other identifiers 1

IdentifierTypeStateIssuer
256431900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408001606 FL Practitioner - Internal Medicine 1153315551 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roy H Hinman MD PAGroup PAC ID 3173584174, 9 clinicians
Island Doctors Intrastate LLCGroup PAC ID 5395161186, 74 clinicians

Practice addresses (Care Compare)

100 Arricola Ave
Saint Augustine, FL 32080-4515
Phone (904) 825-4368

1000 Plantation Island Dr S
Suite 9
St Augustine, FL 32080-3106
Phone (904) 460-9191

1301 Plantation Island Dr S
Suite 106a
St Augustine, FL 32080-3109
Phone (904) 460-9191

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Island Doctors Intrastate LLC CurrentSince Apr 27, 2021 Accepting new patients
Roy H Hinman MD PA CurrentSince Jan 22, 2019 Accepting new patients
Saint Augustine Hospitalists Primary Care Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients

Locations

1000 Plantation Island Dr S
Ste 9
Saint Augustine, FL 32080
Phone (904) 217-0715

1301 Plantation Island Dr S
Ste 106A
Saint Augustine, FL 32080
Phone (904) 460-9191

100 Arricola Ave
St Augustine, FL 32080
Phone (904) 825-4368

103 Anastasia Blvd
St Augustine, FL 32080
Phone (904) 825-4747

2460 Old Moultrie Rd
Ste 2
St Augustine, FL 32086
Phone (904) 293-0299

Interoperability endpoints

  • Direct secure messaging: jfarhat743069@direct.shands.ufl.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1114034709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PLANTATION ISLAND DR S STE 9",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320803106",
            "telephone_number": "904-460-9191",
            "fax_number": "904-471-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PLANTATION ISLAND DR S STE 9",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320803106",
            "telephone_number": "904-460-9191",
            "fax_number": "904-471-4859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Plantation Island Drive",
            "address_2": "Suite 106A",
            "address_purpose": "LOCATION",
            "city": "Saint Augustine",
            "state": "FL",
            "postal_code": "32080",
            "country_code": "US",
            "telephone_number": "904-460-9191",
            "fax_number": "904-471-4859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARHAT",
        "first_name": "JAWAD",
        "middle_name": "SAMIR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME74226",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME74226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256431900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.