NPIMap

Organization Active NPI

Hospital Specialists Inc

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1144265257
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HOSPITAL SPECIALISTS INC
Practice address
800 Prudential Dr
Jacksonville, FL 32207-8202
Phone
(904) 281-0944
Fax
(904) 281-5356
NPI assigned
Jun 20, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Nasrullah Ghafoor, M.D.NPI 1972585081
Title
Ceo
Phone
(904) 281-0944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

800 Prudential Dr
Jacksonville, FL 32207-8202

Mailing address

4466 Swilcan Bridge LN N
Jacksonville, FL 32224-5617
Phone (904) 281-0944

Other practice location 1

1801 Barrs St
Jacksonville, FL 32204-4732
Phone (904) 308-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040910000608 FL Part B Supplier - Clinic/Group Practice 7810964863 Receives reassigned benefits from 11 practitioners
Practice locations: Jacksonville, FL; Orange Park, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1144265257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 SWILCAN BRIDGE LN N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245617",
            "telephone_number": "904-281-0944",
            "fax_number": "904-281-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRUDENTIAL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078202",
            "telephone_number": "904-281-0944",
            "fax_number": "904-281-5356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Barrs St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044732",
            "country_code": "US",
            "telephone_number": "904-308-7300",
            "fax_number": "904-281-9806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPITAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GHAFOOR",
        "authorized_official_first_name": "NASRULLAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-281-0944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.