NPIMap

Individual provider Active NPI

Mae Sheikh-Ali, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Jacksonville, FL
National Provider Identifier
1164405122
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME93580 Issued in FL
Practice address
3627 University Blvd S Ste 310
Jacksonville, FL 32216-4294
Phone
(610) 529-4165
Fax
(904) 281-9806
NPI assigned
Nov 23, 2005
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME93580 FL Primary

Addresses

Primary practice location

3627 University Blvd S Ste 310
Jacksonville, FL 32216-4294

Mailing address

14286 Beach Blvd Ste 19-208
Jacksonville, FL 32250-1561
Phone (610) 529-4165

Other identifiers 3

IdentifierTypeStateIssuer
2772248-00MedicaidFL
28675OtherFLBCBS
121074505BMedicaidGA

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
I20051018000572 FL Practitioner - Endocrinology 7416973672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3627 University Blvd S
Suite 310
Jacksonville, FL 32216-4294
Phone (610) 529-4165

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME93580FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
University of Florida Jacksonville Physicians Inc Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2007 Accepting new patients
Dr Mae Sheikh Ali Endocrine Center LLC Endocrinology, Diabetes & Metabolism CurrentSince Oct 11, 2023 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 1, 2007 Accepting new patients

Locations

14286 Beach Blvd
Ste 19PO
Jacksonville, FL 32250

3627 University Blvd S
Ste 310
Jacksonville, FL 32216
Phone (610) 529-4165

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

14286 Beach Blvd
Ste 19208
Jacksonville Beach, FL 32250

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICADDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICADDD/Endpoint/ICADDD
  • Direct secure messaging: maesheikhali@nfed.allscriptsdirect.net

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 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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1164405122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14286 BEACH BLVD STE 19-208",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501561",
            "telephone_number": "610-529-4165",
            "fax_number": "904-281-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S STE 310",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164294",
            "telephone_number": "610-529-4165",
            "fax_number": "904-281-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKH-ALI",
        "first_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME93580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2772248-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28675",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121074505B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.