Individual provider Active NPI

Naja R Naddaf, M.D.

  • Internal Medicine Physician
  • Orange Park, FL
National Provider Identifier
1255315875
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME90385 Issued in FL
Practice address
1689 Eagle Harbor Pkwy E
Suite a
Orange Park, FL 32003-4817
Phone
(904) 269-1366
Fax
(904) 264-9750
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME90385 FL Primary

Addresses

Primary practice location

1689 Eagle Harbor Pkwy E
Suite a
Orange Park, FL 32003-4817

Mailing address

1689 Eagle Harbor Pkwy E
Suite a
Orange Park, FL 32003-4817
Phone (904) 269-1366

Other identifiers 1

IdentifierTypeStateIssuer
274219500MedicaidFL

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
I20040921001006 FL Practitioner - Internal Medicine 2567430127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Inpatient Consultants of Florida, IncGroup PAC ID 4789614785, 158 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

1401 S Seminole Blvd
Sanford, FL 32771-6743
Phone (407) 321-4500

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 276-8500

3030 W Bearss Ave
Tampa, FL 33618-1811
Phone (813) 968-8777

3625 University S Blvd
Jacksonville, FL 32216-4207
Phone (904) 399-6111

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

  • HCA Florida Healthcare at Home Home health agency, Jacksonville, FL, CCN 107207
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
  • HCA FL Orange Park Hospital Rehabilitation Center Inpatient rehabilitation facility, Orange Park, FL, CCN 10T226
  • Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039

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
ME90385FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lionel J Gatien DO PA Internal Medicine Current Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Feb 15, 2012 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Feb 15, 2012 Accepting new patients

Locations

11701 San Jose Blvd
Ste 203
Jacksonville, FL 32223
Phone (904) 260-4111

9765 San Jose Blvd
Jacksonville, FL 32257
Phone (904) 260-4111

1689 Eagle Harbor Pkwy
Ste A
Orange Park, FL 32003
Phone (904) 269-1366

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

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.

Hospital & facility affiliations 9

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1255315875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 EAGLE HARBOR PKWY E",
            "address_2": "SUITE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320034817",
            "telephone_number": "904-269-1366",
            "fax_number": "904-264-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 EAGLE HARBOR PKWY E",
            "address_2": "SUITE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320034817",
            "telephone_number": "904-269-1366",
            "fax_number": "904-264-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADDAF",
        "first_name": "NAJA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME90385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274219500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.