NPIMap

Individual provider Active NPI

Sanjay Swami, M.D.

  • Allergy Physician
  • Jacksonville, FL
National Provider Identifier
1578517009
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
ME87944 Issued in FL
Practice address
9191 R G Skinner Parkway
Suite 402
Jacksonville, FL 32256-9179
Phone
(904) 642-9001
Fax
(904) 642-9150
NPI assigned
May 20, 2006
Last updated
Aug 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME87944 FL
Allergy Physician 207KA0200X ME87944 FL Primary

Addresses

Primary practice location

9191 R G Skinner Parkway
Suite 402
Jacksonville, FL 32256-9179

Mailing address

9838 Old Baymeadows Rd
PMB # 358
Jacksonville, FL 32256-8101
Phone (904) 642-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051012000817 FL Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 0840103529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of South Carolina School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Coast Allergy and Asthma PAGroup PAC ID 7911922927, 2 clinicians

Practice addresses (Care Compare)

9191 R G Skinner Pkwy
Unit 402
Jacksonville, FL 32256-9659
Phone (904) 642-9001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87944FLMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Allergy and Asthma PA Allergy & Immunology CurrentSince Jul 1, 2005 Accepting new patients
Family Allergy & Asthma Consultants PastSince Jul 1, 2015 Accepting new patients
Allergy & Asthma Center of Central Maryland, PA PastSince Jan 1, 1990 Accepting new patients

Locations

2334 S 8th St
Fernandina Beach, FL 32034
Phone (904) 261-6135

9191 R G Skinner Pkwy
Unit 402
Jacksonville, FL 32256
Phone (904) 642-9001

9838 Old Baymeadows Rd
Jacksonville, FL 32256
Phone (904) 472-0537

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCEFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHHBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJFCA
  • Direct secure messaging: swami.sanjay.002.0090183@fcaa.meditab.direct-ci.com
  • Direct secure messaging: swami.sanjay.004.0090183@fcaa.meditab.direct-ci.com
  • Direct secure messaging: swami.sanjay.005.0090183@fcaa.meditab.direct-ci.com
  • Direct secure messaging: swami.sanjay.006.0090183@fcaa.meditab.direct-ci.com

Organizations & group practices 3

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 3

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1578517009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9838 OLD BAYMEADOWS RD",
            "address_2": "PMB # 358",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568101",
            "telephone_number": "904-642-9001",
            "fax_number": "904-642-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 R G SKINNER PARKWAY",
            "address_2": "SUITE 402",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569179",
            "telephone_number": "904-642-9001",
            "fax_number": "904-642-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAMI",
        "first_name": "SANJAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME87944",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME87944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.