Individual provider Active NPI

Sunil N Joshi, M.D.

  • Allergy & Immunology Physician
  • Jacksonville, FL
National Provider Identifier
1215921895
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME 79099 Issued in FL
Practice address
4123 University Blvd S
B
Jacksonville, FL 32216-4371
Phone
(904) 636-9100
Fax
(904) 636-9102
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME 79099 FL Primary

Addresses

Primary practice location

4123 University Blvd S
B
Jacksonville, FL 32216-4371

Mailing address

4123 University Blvd S
B
Jacksonville, FL 32216-4371
Phone (904) 636-9100

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
I20041021000257 FL Practitioner - Allergy/Immunology 0244291441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Florida College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Allergy and Asthma ConsultantsGroup PAC ID 9436256476, 6 clinicians

Practice addresses (Care Compare)

4123 University Blvd S
Suite B
Jacksonville, FL 32216-4320

4123 University S Blvd B
Jacksonville, FL 32216-4320
Phone (904) 636-9100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 79099FLMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Allergy & Asthma Consultants CurrentSince Jan 1, 2007 Accepting new patients
Jesse P McRae M D P a Past Accepting new patients

Locations

12276 San Jose Blvd
Ste 609
Jacksonville, FL 32223
Phone (904) 636-9100

1727 Blanding Blvd
Ste 101
Jacksonville, FL 32210
Phone (904) 384-3711

4123 University Blvd S
Ste B
Jacksonville, FL 32216
Phone (904) 636-9100

1406 Kingsley Ave
Ste D
Orange Park, FL 32073
Phone (904) 541-1780

135 Professional Dr
Ste 106
Ponte Vedra Beach, FL 32082
Phone (904) 636-9100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHHBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCEFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJFCA

Organizations & group practices 2

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 2

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345680000000",
    "number": "1215921895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 UNIVERSITY BLVD S",
            "address_2": "B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164371",
            "telephone_number": "904-636-9100",
            "fax_number": "904-636-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 UNIVERSITY BLVD S",
            "address_2": "B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164371",
            "telephone_number": "904-636-9100",
            "fax_number": "904-636-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "SUNIL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2012-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME 79099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.