Individual provider Active NPI

Dina Jaalouk, MD

  • Pediatrics Physician
  • Pensacola, FL
National Provider Identifier
1427112374
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME76226 Issued in FL
Practice address
5868 Creek Station Dr BLDG a
Pensacola, FL 32504-8627
Phone
(850) 471-5060
Fax
(850) 471-5070
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME76226 FL Primary

Addresses

Primary practice location

5868 Creek Station Dr BLDG a
Pensacola, FL 32504-8627

Mailing address

5868 Creek Station Dr BLDG a
Pensacola, FL 32504-8627
Phone (850) 471-5060

Other identifiers 1

IdentifierTypeStateIssuer
1427112374OtherFLNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Pediatrics PA Pediatrics PastSince Oct 16, 2022 Accepting new patients
Pensacola Pediatrics PA Pediatrics PastSince Aug 8, 2021 Accepting new patients
Pensacola Pediatrics PA Pediatrics Past Accepting new patients
Pensacola Pediatrics, PA Pediatrics PastSince Aug 8, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dinajaalouk@ecc.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1427112374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5868 CREEK STATION DR BLDG A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048627",
            "telephone_number": "850-471-5060",
            "fax_number": "850-471-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5868 CREEK STATION DR BLDG A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048627",
            "telephone_number": "850-471-5060",
            "fax_number": "850-471-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAALOUK",
        "first_name": "DINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME76226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427112374",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.