Organization Active NPI

Ave Maria Hospitalist Group LLC

  • Medical Specialty Clinic/Center
  • Ave Maria, FL
National Provider Identifier
1649016296
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Raul Enad, MDNPI 1659342079
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.