Organization Active NPI

Barbara Ioannides Rappaport,MD,PA

  • Medical Specialty Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1386945582
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME82283 Issued in FL
Legal business name
BARBARA IOANNIDES RAPPAPORT,MD,PA
Practice address
8833 Perimeter Park Blvd Ste 203
Jacksonville, FL 32216-1111
Phone
(904) 997-1100
Fax
(904) 997-8080
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Dr. Barbara I Rappaport, MDNPI 1578585147
Title
President
Phone
(904) 997-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME82283 FL Primary

Addresses

Primary practice location

8833 Perimeter Park Blvd Ste 203
Jacksonville, FL 32216-1111

Mailing address

8833 Perimeter Park Blvd Ste 203
Jacksonville, FL 32216-1111
Phone (904) 997-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110421000179 FL Part B Supplier - Clinic/Group Practice 4789869512 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0998245Barbara Ioannides Rappaport MD PA8833 Perimeter Park Blvd #203, Jacksonville, FL 32216Certificate of waiverApr 9, 2028

National Provider Directory

National Provider Directory

Locations

8833 Perimeter Park Blvd
Jacksonville, FL 32216
Phone (904) 497-0823

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1386945582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD STE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161111",
            "telephone_number": "904-997-1100",
            "fax_number": "904-997-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD STE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161111",
            "telephone_number": "904-997-1100",
            "fax_number": "904-997-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA IOANNIDES RAPPAPORT,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "RAPPAPORT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-997-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME82283",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.