NPIMap

Individual provider Active NPI

Lucien Naji Abboud, MD

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1609055870
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME104475 Issued in FL
Practice address
1824 King St Ste 300
Jacksonville, FL 32204-4736
Phone
(904) 388-1820
Fax
(904) 388-1827
NPI assigned
Oct 24, 2007
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME104475 FL Primary

Addresses

Primary practice location

1824 King St Ste 300
Jacksonville, FL 32204-4736

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150819009523 FL Practitioner - Cardiovascular Disease (Cardiology) 3173675717 Reassigns benefits to 1 organization
I20200901002330 LA Practitioner - Cardiovascular Disease (Cardiology) 3173675717 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1824 King St
Suite 300
Jacksonville, FL 32204-4736
Phone (904) 388-1820

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME104475FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Feb 11, 2021 Accepting new patients
St. Martin Hospital, Inc. Cardiovascular Disease CurrentSince Nov 10, 2020 Accepting new patients
St. Martin Hospital, Inc. CurrentSince Nov 10, 2020 Accepting new patients
St Vincents Ambulatory Care Inc Cardiovascular Disease CurrentSince Aug 1, 2019 Accepting new patients
Ochsner American Legion Hospital LLC CurrentSince Mar 23, 2023 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Aug 1, 2019 Accepting new patients
Ochsner American Legion Hospital LLC CurrentSince Mar 23, 2023 Accepting new patients
Cardiovascular Institute of the South, LLC Cardiovascular Disease CurrentSince Aug 31, 2020 Accepting new patients
Lsuhn Billing LLC CurrentSince Feb 11, 2021 Accepting new patients
Inpatient Consultants of Tennessee, P.C. Past Accepting new patients
Kenneth L Entes MD Apmc Cardiovascular Disease PastSince Aug 31, 2020 Accepting new patients

Locations

1824 King St
Ste 300
Jacksonville, FL 32204
Phone (904) 381-9393

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

2300 Park Ave
Ste 101B
Orange Park, FL 32073
Phone (904) 249-4888

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

3256 Highway 190
Ste B
Eunice, LA 70535
Phone (337) 550-3740

1901 Manhattan Blvd
Ste A200
Harvey, LA 70058
Phone (504) 354-5252

225 Dunn St
Houma, LA 70360
Phone (985) 446-2021

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

441 Heymann Blvd
Lafayette, LA 70503
Phone (337) 289-8429

500 N Lewis St
Ste 100
New Iberia, LA 70563
Phone (337) 367-5200

Interoperability endpoints

  • Direct secure messaging: lucien.abboud.1@8967.direct.athenahealth.com

Organizations & group practices 11

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 6

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": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1609055870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 KING ST STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044736",
            "telephone_number": "904-388-1820",
            "fax_number": "904-388-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOUD",
        "first_name": "LUCIEN",
        "middle_name": "NAJI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME104475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.