NPIMap

Individual provider Active NPI

Jamal Saliba Salameh, MD

  • Nephrology Physician
  • Jacksonville, FL
National Provider Identifier
1174558753
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME81937 Issued in FL
Practice address
4123 University Blvd S Ste E
Jacksonville, FL 32216-4320
Phone
(904) 744-7300
Fax
(904) 744-4048
NPI assigned
Jul 11, 2006
Last updated
Apr 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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 ME81937 FL
Nephrology Physician 207RN0300X ME81937 FL Primary

Addresses

Primary practice location

4123 University Blvd S Ste E
Jacksonville, FL 32216-4320

Mailing address

PO Box 57189
Jacksonville, FL 32241-7189
Phone (904) 744-4448

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
I20060118000063 FL Practitioner - NephrologyPractitioner - Internal Medicine 9133143167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Northeastern Ohio University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Coast Nephrology IncGroup PAC ID 3173753126, 4 clinicians

Practice addresses (Care Compare)

4123 University Blvd S
Suite E
Jacksonville, FL 32216-4320
Phone (904) 744-4448

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81937FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Nephrology Inc Internal Medicine CurrentSince Feb 1, 2014 Accepting new patients
Naeem Haider Nephrology Past Accepting new patients
First Coast Hospitalist P L Internal Medicine PastSince Jan 1, 2006 Accepting new patients
Chris B Rathburn MD PA Internal Medicine Past Accepting new patients

Locations

4131 University Blvd S
Ste 6
Jacksonville, FL 32216
Phone (904) 396-1378

6484 Fort Caroline Rd
Jacksonville, FL 32277
Phone (904) 744-7300

4123 University Blvd S
Ste E
Jacksonville, FL 32216
Phone (904) 737-2722

2732 Trollie Ln
Jacksonville, FL 32211
Phone (904) 289-1254

159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815

1730 Kingsley Ave
Orange Park, FL 32073
Phone (334) 233-1485

1594 Kingsley Ave
Orange Park, FL 32073
Phone (904) 264-8621

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHDJBD/Endpoint/JHDJBD

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1174558753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57189",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322417189",
            "telephone_number": "904-744-4448",
            "fax_number": "904-744-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 UNIVERSITY BLVD S STE E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164320",
            "telephone_number": "904-744-7300",
            "fax_number": "904-744-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMEH",
        "first_name": "JAMAL",
        "middle_name": "SALIBA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81937",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME81937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.