Individual provider Active NPI

Kabir A Yousuf, MD

  • Cardiovascular Disease Physician
  • Fleming Island, FL
National Provider Identifier
1174595763
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME159189 Issued in FL
Practice address
1747 Baptist Clay Dr Ste 320
Fleming Island, FL 32003-8503
Phone
(904) 224-5185
Fax
(904) 278-7284
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D65777 ME
Cardiovascular Disease Physician 207RC0000X D0065777 MD
Cardiovascular Disease Physician 207RC0000X ME159189 FL Primary

Addresses

Primary practice location

1747 Baptist Clay Dr Ste 320
Fleming Island, FL 32003-8503

Mailing address

PO Box 746652
Atlanta, GA 30374-6652
Phone (904) 720-0599

Other identifiers 1

IdentifierTypeStateIssuer
100811100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070608000457 MD Practitioner - Cardiovascular Disease (Cardiology) 9931196474 Reassigns benefits to 1 organization
I20170828001600 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 9931196474
I20221110001735 FL Practitioner - Cardiovascular Disease (Cardiology) 9931196474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Virginia Commonwealth University, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Cardiology, Inc.Group PAC ID 2466614581, 98 clinicians

Practice addresses (Care Compare)

1747 Baptist Clay Dr
Suite 320
Fleming Island, FL 32003-8503
Phone (904) 224-5185

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D65777MEMDInternal Medicine Physician
D0065777MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecg Associates of Jacksonville P a CurrentSince Jan 6, 2024 Accepting new patients
Baptist Cardiology, Inc. Cardiovascular Disease CurrentSince Nov 1, 2022 Accepting new patients
Baptist Cardiology Inc Cardiovascular Disease CurrentSince Nov 1, 2022 Accepting new patients
St Agnes Healthcare Inc Internal Medicine CurrentSince Feb 25, 2013 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Primedoc of Richmond PC Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Midatlantic Cardiovascular Associates PA Cardiovascular Disease Past Accepting new patients

Locations

1747 Baptist Clay Dr
Ste 320
Fleming Island, FL 32003
Phone (904) 224-5185

2310 Village Square Pkwy
Ste 204
Fleming Island, FL 32003
Phone (904) 224-5185

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125

3407 Wilkens Ave
Ste 300
Baltimore, MD 21229
Phone (410) 644-5111

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

Interoperability endpoints

  • Direct secure messaging: kyousuf126562@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 8

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 1

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1174595763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746652",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746652",
            "telephone_number": "904-720-0599",
            "fax_number": "904-376-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 BAPTIST CLAY DR STE 320",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038503",
            "telephone_number": "904-224-5185",
            "fax_number": "904-278-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSUF",
        "first_name": "KABIR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "D65777",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0065777",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME159189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100811100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.