Ashraf Ali Affan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME 86016 Issued in FL

Practice address

13241 Bartram Park Blvd Unit 209
Jacksonville, FL 32258-5233

Phone

(904) 616-2772

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Angel Kids PA

  • Primary Care Clinic/Center
  • Jacksonville, FL
  • NPI 1124162854
  Medicare reassignment NPD
• Angel Kids PA

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1033785001
  NPD (past)
• Angel Kids PA

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1174199137
  NPD (past)
• Angel Kids PA

  • Pediatrics Physician
  • St Johns, FL
  • NPI 1386210367
  NPD (past)
• Angel Kids PA

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1568038511
  NPD (past)
• Angel Kids PA

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1598331563
  NPD (past)
• Angel Kids PA

  • Pediatrics Physician
  • Ponte Vedra Beach, FL
  • NPI 1841866811
  NPD (past)
• I Nurse My Baby LLC

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1891115135
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1477538593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 209",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585233",
            "telephone_number": "904-616-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 209",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585233",
            "telephone_number": "904-616-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFFAN",
        "first_name": "ASHRAF",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 86016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270166900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Adzema
• Aeg Florida Professional PLLC
• Aegis Group Practice, LLC
• Scott William Aesif, M.D., PH.D.
• Monica Deann Afamefune, APRN
• Affectionate Care Service LLC
• Affiance Health Care Services,LLC
• Affiliated Health Psychologists
• Affirm Direct Primary Care P.a.
• Affordable Chiropractic Medicine Jacksonville LLC

• Pediatrics Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.