Individual provider Active NPI

Haydar M Al-Eid, M.D.

  • Pulmonary Disease Physician
  • Fernandina Beach, FL
National Provider Identifier
1306133780
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME170879 Issued in FL
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

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220211000838 VA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4082996863 Reassigns benefits to 2 organizations
I20250211003607 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4082996863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Pulmonary Specialists IncGroup PAC ID 5395898191, 3 clinicians

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 Hospital, Fernandina Beach, FL, CCN 100140
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC Multi-Specialty CurrentSince Jan 1, 2022 Accepting new patients
Bayview Physician Services, PC CurrentSince Jan 1, 2022 Accepting new patients
Baptist Pulmonary Specialists Inc Multi-Specialty CurrentSince Mar 1, 2025 Accepting new patients
Southeastern Intensivist Services PC Multi-Specialty CurrentSince Jan 1, 2024 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

  • Direct secure messaging: haleid253939@baptisthealthsystemjacksonville.direct-ci.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.