Medstar Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDSTAR CLINIC LLC

Practice address

6817 Southpoint Pkwy Ste 1602
Jacksonville, FL 32216-6298

Phone

(904) 902-0091

Fax

(904) 600-5299

NPI assigned

Jun 5, 2024

Organization subpart

No

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

Authorized official

Name

Viral Acharya, MDNPI 1639331176

Title

Authorized Official

Phone

(904) 902-0091

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Viral Acharya, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1639331176
  Medicare reassignment Care Compare group NPD Authorized official
• Dalia Elramady, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1174719322
  Medicare reassignment Care Compare group NPD
• Mohamed Shaalan, M.D.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1235103912
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1528809373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550750",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322550750",
            "telephone_number": "904-902-0091",
            "fax_number": "904-600-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1602",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166298",
            "telephone_number": "904-902-0091",
            "fax_number": "904-600-5299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6817 Southpoint Pkwy Ste 1302",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322166297",
            "country_code": "US",
            "telephone_number": "904-902-0091",
            "fax_number": "904-600-5299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDSTAR CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "ACHARYA",
        "authorized_official_first_name": "VIRAL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "904-902-0091",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Hiwatig Medina, DNP
• Saul Medina
• Tracie Drinkwater Medina, APRN
• Sherri Lorraine Medious-Jordan
• Medsports Promassage
• Jillian Kimberly Medure, D.M.D
• Andrew Medvedovsky, MD
• Steven Medvid, M.D.
• Medvidi Health, P.a.
• Sarah Anne Medwar, PT, DPT

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.