Individual provider Active NPI

Jagdeep Singh Narula, MD

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1467662205
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0069947 Issued in FL
Practice address
8992 Taft St
Pembroke Pines, FL 33024-4668
Phone
(954) 704-9300
NPI assigned
May 23, 2007
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0069947 FL Primary

Addresses

Primary practice location

8992 Taft St
Pembroke Pines, FL 33024-4668

Mailing address

8551 NW 7TH St
Pembroke Pines, FL 33024-6635
Phone (954) 704-9300

Other identifiers 2

IdentifierTypeStateIssuer
32099OtherFLBLUE CROSS & BLUE SHIELD
251083900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jnarula12620@MHSDIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081218000681 FL Practitioner - Internal Medicine 4789746199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jagdeep S Narula M D and Associates P aGroup PAC ID 2466514872, 2 clinicians

Practice addresses (Care Compare)

8992 Taft St
Pembroke Pines, FL 33024-4668
Phone (954) 704-9300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0069947FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jagdeep S Narula M D & Associates P a Internal Medicine CurrentSince Sep 1, 2008 Accepting new patients

Locations

8992 Taft St
Pembroke Pines, FL 33024
Phone (954) 704-9300

Interoperability endpoints

  • Direct secure messaging: jnarula12620@mhsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1467662205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 NW 7TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246635",
            "telephone_number": "954-704-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8992 TAFT ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244668",
            "telephone_number": "954-704-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARULA",
        "first_name": "JAGDEEP",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0069947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "32099",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251083900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnarula12620@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "8992 Taft St",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330244668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.