Individual provider Active NPI

Ismail Salahi, DO

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1184688368
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
OS6845 Issued in FL
Practice address
4063 Salisbury Rd
Suite 206
Jacksonville, FL 32216-8030
Phone
(904) 296-3611
Fax
(904) 296-3617
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X OS6845 FL Primary

Addresses

Primary practice location

4063 Salisbury Rd
Suite 206
Jacksonville, FL 32216-8030

Mailing address

4063 Salisbury Rd
Suite 206
Jacksonville, FL 32216-8030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070602000012 FL Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 0345348199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of New England, College of Osteo Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3716 University Blvd S
Suite 1
Jacksonville, FL 32216-4355

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Pain Management Center Inc CurrentSince Jan 1, 2007 Accepting new patients
Christian L Koppel MD PA Past Accepting new patients
Metropolitan Pain Management Past Accepting new patients
Florida Anesthesia Associates P a Past Accepting new patients

Locations

3716 University Blvd S
Ste 1
Jacksonville, FL 32216
Phone (904) 296-3611

4063 Salisbury Rd
Ste 206
Jacksonville, FL 32216
Phone (904) 296-0900

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184688368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4063 SALISBURY RD",
            "address_2": "SUITE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 SALISBURY RD",
            "address_2": "SUITE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168030",
            "telephone_number": "904-296-3611",
            "fax_number": "904-296-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAHI",
        "first_name": "ISMAIL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS6845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.