Active NPI
Ave Maria Hospitalist Group LLC
- Medical Specialty Clinic/Center
- Ave Maria, FL
National Provider Identifier
1649016296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- AVE MARIA HOSPITALIST GROUP LLC
- Practice address
- 5080 Annunciation Cir Unit 103
Ave Maria, FL 34142-9655 - Phone
- (239) 322-0917
- NPI assigned
- Jul 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raul Enad, MD
- Title
- President
- Phone
- (239) 322-0917
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
5080 Annunciation Cir Unit 103
Ave Maria, FL 34142-9655
Mailing address
5080 Annunciation Cir Unit 103
Ave Maria, FL 34142-9655
Phone (239) 322-0917
Other names 1
- Ave Maria Hospitalist Group, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240808003498 | FL | Part B Supplier - Clinic/Group Practice | 2769929694 |
Receives reassigned benefits from 1 practitioner Practice locations: Ave Maria, FL |
National Provider Directory
National Provider DirectoryLocations
5080 Annunciation Cir
Unit 103
Ave Maria, FL 34142
Phone (239) 322-0917
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719964800000",
"number": "1649016296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 ANNUNCIATION CIR UNIT 103",
"city": "AVE MARIA",
"state": "FL",
"postal_code": "341429655",
"telephone_number": "239-322-0917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5080 ANNUNCIATION CIR UNIT 103",
"city": "AVE MARIA",
"state": "FL",
"postal_code": "341429655",
"telephone_number": "239-322-0917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVE MARIA HOSPITALIST GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-03",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A",
"authorized_official_last_name": "ENAD",
"authorized_official_first_name": "RAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-322-0917",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ave Maria Hospitalist Group, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ave Maria, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.