Individual provider Active NPI

Ali K Jaffar, MD

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1265486476
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME128784 Issued in FL
Practice address
2810 W Saint Isabel St
Ste 201
Tampa, FL 33607-6375
Phone
(813) 890-8004
Fax
(813) 290-9691
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AJ066221 MI
Internal Medicine Physician 207R00000X ME128784 FL Primary

Addresses

Primary practice location

2810 W Saint Isabel St
Ste 201
Tampa, FL 33607-6375

Mailing address

PO Box 20065
Tampa, FL 33622-0065
Phone (813) 890-8004

Other identifiers 1

IdentifierTypeStateIssuer
4571296MedicaidMI

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
I20161201002036 FL Practitioner - Internal Medicine 3678530565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group, Florida IncGroup PAC ID 4082878509, 94 clinicians

Practice addresses (Care Compare)

951 N Washington Ave
Titusville, FL 32796-2194
Phone (321) 268-6111

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME128784FLMDInternal Medicine Physician
AJ066221MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Hospitalists PA Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Tampa General Hospital Current Accepting new patients
Apogee Medical Group, Florida Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

2810 W Saint Isabel St
Ste 201
Tampa, FL 33607
Phone (813) 681-0141

4801 N Howard Ave
Tampa, FL 33603
Phone (727) 581-4800

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Interoperability endpoints

  • Direct secure messaging: ajaffar121828@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 3

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 3

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1265486476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20065",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336220065",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W SAINT ISABEL ST",
            "address_2": "STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076375",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFAR",
        "first_name": "ALI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "AJ066221",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME128784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4571296",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.