Organization Active NPI

Eracare Physicians LLC

  • Internal Medicine Physician
  • Clermont, FL
National Provider Identifier
1396190955
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ERACARE PHYSICIANS LLC
Practice address
2040 Oakley Seaver Dr Ste 300
Clermont, FL 34711-1970
Phone
(352) 708-8211
Fax
(855) 264-9607
NPI assigned
May 2, 2016
Last updated
Jun 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Alaa Kandil, MDNPI 1144583899
Title
Co-Owner
Phone
(352) 708-8211

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2040 Oakley Seaver Dr Ste 300
Clermont, FL 34711-1970

Mailing address

P.O. Box 120518
Clermont, FL 34712-0518
Phone (352) 708-8211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161109000000 FL Part B Supplier - Clinic/Group Practice 2567741846 Receives reassigned benefits from 3 practitioners
Practice locations: Clermont, 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
10D2119259Eracare Physicians LLC2040 Oakley Seaver Drive Suite 300, Clermont, FL 34711Certificate of waiverSep 21, 2026

National Provider Directory

National Provider Directory

Locations

2040 Oakley Seaver Dr
Ste 300
Clermont, FL 34711
Phone (352) 708-8211

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1396190955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 120518",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347120518",
            "telephone_number": "352-708-8211",
            "fax_number": "855-264-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 OAKLEY SEAVER DR STE 300",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111970",
            "telephone_number": "352-708-8211",
            "fax_number": "855-264-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERACARE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "KANDIL",
        "authorized_official_first_name": "ALAA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "352-708-8211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.