Active NPI
Ernst Nicolitz, M.D
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Jacksonville, FL
National Provider Identifier
1275512394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- ME31869
- Practice address
- 7051 Southpoint Pkwy S Ste 300
Jacksonville, FL 32216-8713 - Phone
- (904) 398-2720
- Fax
- (904) 398-6408
- NPI assigned
- Jan 17, 2006
- Last updated
- May 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME31869 | FL | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | ME31869 | FL | Primary |
Addresses
Primary practice location
7051 Southpoint Pkwy S Ste 300
Jacksonville, FL 32216-8713
Mailing address
11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627
Phone (904) 396-1725
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15445 | Other | FL | BCBS-FL |
| Q00069488 | Other | FL | RAILROAD MEDICARE |
| NS943 | Other | FL | MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100729000647 | FL | Practitioner - Ophthalmology | 7911961263 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southpoint Plastic Surgery Associates | Specialist | Past | Accepting new patients |
| Optical at Southpoint | Past | Accepting new patients | |
| Southpoint Surgery Center, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Legal Medicine
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- NPI 1033128152
-
- Durable Medical Equipment & Medical Supplies
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- NPI 1255658316
-
- Specialist
- Jacksonville, FL
- NPI 1174840235
-
- Ambulatory Surgical Clinic/Center
- Jacksonville, FL
- NPI 1477500767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1275512394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11945 SAN JOSE BLVD STE 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231627",
"telephone_number": "904-396-1725",
"fax_number": "904-396-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7051 SOUTHPOINT PKWY S STE 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168713",
"telephone_number": "904-398-2720",
"fax_number": "904-398-6408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLITZ",
"first_name": "ERNST",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME31869",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME31869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-FL",
"identifier": "15445",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "Q00069488",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NS943",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.