Individual provider Active NPI

Sinem Sherifali, M.D.

  • Emergency Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1508034356
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME113174 Issued in FL
Practice address
655 W 8TH St
Uf & Shands Department of Emergency Medicine
Jacksonville, FL 32209-6511
Phone
(904) 244-6340
Fax
(904) 244-5666
NPI assigned
Feb 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301090686 MI
Emergency Medicine Physician 207P00000X ME113174 FL Primary

Addresses

Primary practice location

655 W 8TH St
Uf & Shands Department of Emergency Medicine
Jacksonville, FL 32209-6511

Mailing address

655 West Eighth Street
Uf & Shands Department of Emergency Medicine
Jacksonville, FL 32209

Other identifiers 3

IdentifierTypeStateIssuer
006509300MedicaidFL
14N05OtherFLBCBSFL
003133633AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120914000011 FL Practitioner - Emergency Medicine 0143351387 Reassigns benefits to 1 organization
I20200205001294 IL Practitioner - Emergency Medicine 0143351387 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME113174FLMDEmergency Medicine Physician
4301090686MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Board of Trustees of the University of Illinois Emergency Medicine CurrentSince Nov 23, 2019 Accepting new patients
Community First Healthcare of Illinois, Inc. Emergency Medicine Current Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Aug 1, 2020 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Nov 23, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 3, 2013 Accepting new patients
University of Florida Jacksonville Physicians Inc Emergency Medicine CurrentSince Jun 3, 2013 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

653 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3902

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

808 S Wood St
#722
Chicago, IL 60612
Phone (312) 355-0865

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

Organizations & group practices 9

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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1508034356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 WEST EIGHTH STREET",
            "address_2": "UF & SHANDS DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST",
            "address_2": "UF & SHANDS DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-244-6340",
            "fax_number": "904-244-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIFALI",
        "first_name": "SINEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301090686",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME113174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006509300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "14N05",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003133633A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.