Individual provider Active NPI

Vincent Hilles Ober Jr., M.D.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1669432423
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME65284 Issued in FL
Practice address
5614 San Jose Boulevard
San Jose Family Practice Center
Jacksonville, FL 32207
Phone
(904) 633-0475
NPI assigned
Mar 24, 2006
Last updated
Jan 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME65284 FL
Family Medicine Physician 207Q00000X ME65284 FL Primary

Addresses

Primary practice location

5614 San Jose Boulevard
San Jose Family Practice Center
Jacksonville, FL 32207

Mailing address

PO Box 44008
Ufjp Provider Enrollment
Jacksonville, FL 32231-4008

Other practice location 1

1680 Dunn Ave Ste 35
Jacksonville, FL 32218-4744
Phone (904) 760-4904

Other practice location 2

3900 University Blvd S Ste 2
Jacksonville, FL 32216-4331
Phone (904) 760-4904

Other practice location 3

1880 Edgewood Ave W
Jacksonville, FL 32208-3021
Phone (904) 760-4904

Other practice location 4

120 King St
Jacksonville, FL 32204-2410
Phone (904) 760-4904

Other practice location 5

5460 Blanding Blvd
Jacksonville, FL 32244-1957
Phone (904) 760-4904

Other practice location 6

6024 Merrill Rd
Jacksonville, FL 32277-3427
Phone (904) 760-4904

Other identifiers 3

IdentifierTypeStateIssuer
000603391AMedicaidGA
080066380OtherFLRAILROAD MEDICARE
3753671-00MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081027000011 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 2365500055 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Virginia Commonwealth University, School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, shared by 5 NPIs, 908 clinicians

Practice addresses (Care Compare)

5614 San Jose Blvd
Jacksonville, FL 32207-7616
Phone (904) 633-0475

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-5121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME65284FLMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Community Health Center, Inc CurrentSince Jan 6, 2021 Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC Family Medicine CurrentSince Apr 4, 2018 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Jul 1, 2008 Accepting new patients
Solantic of Jacksonville, LLC Family Medicine CurrentSince Apr 4, 2018 Accepting new patients
University of Florida Jacksonville Physicians Inc Family Medicine CurrentSince May 13, 2013 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Apr 4, 2018 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Apr 4, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 1, 2008 Accepting new patients
Solantic/South Florida, LLC CurrentSince Apr 4, 2018 Accepting new patients
Agape Community Health Center, Inc. CurrentSince Jan 6, 2021 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Family Medicine Past Accepting new patients
University of Florida Jacksonville Physicians, Inc. Family Medicine Past Accepting new patients

Locations

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

1205 N University Dr
Coral Springs, FL 33071
Phone (954) 780-8134

3581 SW Archer Rd
Ste 40
Gainesville, FL 32608
Phone (352) 888-4449

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

120 King St
Jacksonville, FL 32204
Phone (904) 800-6347

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

1680 Dunn Ave
Ste 3437
Jacksonville, FL 32218
Phone (904) 760-4964

1680 Dunn Ave
Ste 35
Jacksonville, FL 32218
Phone (904) 714-9053

1880 Edgewood Ave W
Jacksonville, FL 32208

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

3101 University Blvd S
Ste 200207
Jacksonville, FL 32216
Phone (970) 760-4904

3900 University Blvd S
Ste 2
Jacksonville, FL 32216
Phone (904) 760-4940

5460 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 800-6347

5614 San Jose Blvd
Jacksonville, FL 32207
Phone (904) 633-0475

6024 Merrill Rd
Jacksonville, FL 32277
Phone (904) 549-5589

653 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3902

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

136 Parliament Loop
Ste 1020
Lake Mary, FL 32746
Phone (407) 333-0160

410 Atlantic Blvd
Neptune Beach, FL 32266
Phone (904) 241-0117

2555 S Kirkman Rd
Orlando, FL 32811
Phone (407) 362-2030

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

Interoperability endpoints

  • Direct secure messaging: vincent.ober.1@12891.direct.athenahealth.com
  • Direct secure messaging: vober59437@direct.shands.ufl.edu

Organizations & group practices 12

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 2

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1669432423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44008",
            "address_2": "UFJP PROVIDER ENROLLMENT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5614 SAN JOSE BOULEVARD",
            "address_2": "SAN JOSE FAMILY PRACTICE CENTER",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32207",
            "telephone_number": "904-633-0475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1680 Dunn Ave Ste 35",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322184744",
            "country_code": "US",
            "telephone_number": "904-760-4904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 University Blvd S Ste 2",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164331",
            "country_code": "US",
            "telephone_number": "904-760-4904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1880 Edgewood Ave W",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322083021",
            "country_code": "US",
            "telephone_number": "904-760-4904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 King St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322042410",
            "country_code": "US",
            "telephone_number": "904-760-4904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5460 Blanding Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322441957",
            "country_code": "US",
            "telephone_number": "904-760-4904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6024 Merrill Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322773427",
            "country_code": "US",
            "telephone_number": "904-760-4904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBER",
        "first_name": "VINCENT",
        "middle_name": "HILLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME65284",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME65284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000603391A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080066380",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3753671-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.