Individual provider Active NPI

Phillips Nagsuk, M.D.

  • General Practice Physician
  • Ocala, FL
National Provider Identifier
1215311196
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME130544 Issued in FL
Practice address
6041 SW 54TH St Ste 200
Ocala, FL 34474-5521
Phone
(352) 857-8417
Fax
(352) 877-2183
NPI assigned
Jul 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME130544 FL Primary

Addresses

Primary practice location

6041 SW 54TH St Ste 200
Ocala, FL 34474-5521

Mailing address

6041 SW 54TH St Ste 200
Ocala, FL 34474-5521
Phone (352) 857-8417

Other practice location 1

86 W Underwood St Ste 201
Orlando, FL 32806-1110
Phone (321) 841-5142

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
I20180928002785 FL Practitioner - Family Practice 0749596047 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME130544FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elyaman Medical Services PA General Practice CurrentSince Aug 3, 2018 Accepting new patients

Locations

7350 SW 60th Ave
Ste 2
Ocala, FL 34476
Phone (352) 854-5530

6041 SW 54th St
Ste 200
Ocala, FL 34474
Phone (352) 857-8417

10230 SW 86th Cir
Unit 200
Ocala, FL 34481
Phone (352) 857-8417

Organizations & group practices 1

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": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1215311196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 SW 54TH ST STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745521",
            "telephone_number": "352-857-8417",
            "fax_number": "352-877-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 SW 54TH ST STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745521",
            "telephone_number": "352-857-8417",
            "fax_number": "352-877-2183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 W Underwood St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "321-841-5142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGSUK",
        "first_name": "PHILLIPS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-10",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME130544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.