NPIMap

Individual provider Active NPI

Ramzi M Shaqareq, MD

  • Pulmonary Disease Physician
  • St Augustine, FL
National Provider Identifier
1598715229
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME91451 Issued in FL
Practice address
100 Whetstone PL
Suite 208
St Augustine, FL 32086-5774
Phone
(904) 819-6800
Fax
(904) 819-6700
NPI assigned
May 11, 2006
Last updated
Nov 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME91451 FL Primary

Addresses

Primary practice location

100 Whetstone PL
Suite 208
St Augustine, FL 32086-5774

Mailing address

100 Whetstone PL
Suite 208
St Augustine, FL 32086-5774
Phone (904) 819-6800

Other identifiers 1

IdentifierTypeStateIssuer
272824900MedicaidFL

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
I20050609000795 FL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5597708511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First Coast Pulmonary AssociatesGroup PAC ID 3678549565, 2 clinicians

Practice addresses (Care Compare)

100 Whetstone PL
Suite 210
St Augustine, FL 32086-5775
Phone (904) 819-6800

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flagler Diagnostic & Sleeping Disorder, Inc, Inc CurrentSince Oct 31, 2024 Accepting new patients
First Coast Pulmonary Associates Pulmonary Disease Current Accepting new patients
First Coast Pulmonary Associates Pulmonary Disease CurrentSince Jul 1, 2008 Accepting new patients

Locations

100 Whetstone Pl
Ste 208
St Augustine, FL 32086
Phone (904) 447-7377

100 Whetstone Pl
Ste 210
St Augustine, FL 32086
Phone (904) 501-0846

Interoperability endpoints

  • Direct secure messaging: rshaqareq742891@direct.shands.ufl.edu

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 4

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1598715229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WHETSTONE PL",
            "address_2": "SUITE 208",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865774",
            "telephone_number": "904-819-6800",
            "fax_number": "904-819-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHETSTONE PL",
            "address_2": "SUITE 208",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865774",
            "telephone_number": "904-819-6800",
            "fax_number": "904-819-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAQAREQ",
        "first_name": "RAMZI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME91451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272824900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.