Active NPI
Haydar M Al-Eid, M.D.
- Pulmonary Disease Physician
- Fernandina Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME170879
- Practice address
- 1348 S 18TH St Ste 210
Fernandina Beach, FL 32034-4785 - Phone
- (904) 261-9108
- Fax
- (904) 261-9911
- NPI assigned
- Jul 6, 2011
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME170879 | FL | |
| Pulmonary Disease Physician | 207RP1001X | 0101255173 | VA | |
| Pulmonary Disease Physician | 207RP1001X | ME170879 | FL | Primary |
| Internal Medicine Physician | 207R00000X | 0101255173 | VA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME170879 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0101255173 | VA |
Addresses
Primary practice location
1348 S 18TH St Ste 210
Fernandina Beach, FL 32034-4785
Mailing address
PO Box 746641
Atlanta, GA 30374-6641
Phone (904) 202-2092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1348 S 18TH St
Suite 210
Fernandina Beach, FL 32034-4785
Phone (904) 261-9108
Hospital & facility affiliations
- Baptist Medical Center - Nassau
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Physician Services, PC | Multi-Specialty | Current | Accepting new patients |
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Baptist Pulmonary Specialists Inc | Multi-Specialty | Current | Accepting new patients |
| Southeastern Intensivist Services PC | Multi-Specialty | Current | Accepting new patients |
Locations
1348 S 18th St
Ste 210
Fernandina Beach, FL 32034
Phone (904) 261-9108
111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210
3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500
612 Kingsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 547-9294
3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
1168 First Colonial Rd
Ste 101
Virginia Beach, VA 23454
Phone (757) 481-2515
1168 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 352-2020
Interoperability endpoints
- haleid253939@baptisthealthsystemjacksonville.direct-ci.com
- haydar.aleid@bayview.eclinicaldirectplus.com
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.
-
- Pulmonary Disease Physician
- Jacksonville, FL
- NPI 1689817405
FL, Multi-Specialty
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
Multi-Specialty, VA
-
- Hospitalist Physician
- West Memphis, AR
- NPI 1912942665
Multi-Specialty, VA
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1699865626
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
Hospital
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1306133780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746641",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746641",
"telephone_number": "904-202-2092",
"fax_number": "904-376-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 S 18TH ST STE 210",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320344785",
"telephone_number": "904-261-9108",
"fax_number": "904-261-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-EID",
"first_name": "HAYDAR",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME170879",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101255173",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME170879",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101255173",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME170879",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "VA",
"license": "0101255173",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.