Individual provider Active NPI

Ashu Dhanjal, MD

  • Cardiovascular Disease Physician
  • Yulee, FL
National Provider Identifier
1689874166
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME151366 Issued in FL
Practice address
462626 State Road 200 Ste 103
Yulee, FL 32097-5513
Phone
(904) 443-9771
Fax
(904) 858-3288
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME151366 FL Primary
Cardiovascular Disease Physician 207RC0000X 25118 WV

Addresses

Primary practice location

462626 State Road 200 Ste 103
Yulee, FL 32097-5513

Mailing address

PO Box 746652
Atlanta, GA 30374-6652
Phone (904) 202-2092

Other practice location 1

1250 S 18th St Ste 202
Fernandina Beach, FL 32034-4729
Phone (904) 261-9786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170906000195 AR Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0941497085 Reassigns benefits to 1 organization
I20210719001504 FL Practitioner - Cardiovascular Disease (Cardiology) 0941497085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Cardiology, Inc.Group PAC ID 2466614581, 98 clinicians

Practice addresses (Care Compare)

462626 State Rd
200 Suite 103
Yulee, FL 32097-5513
Phone (904) 443-9771

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.46 of 100Reported as group
Quality
91.35
Promoting interoperability
99
Improvement activities
40
Cost
81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME151366FLMDCardiovascular Disease Physician
25118WVMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince Aug 1, 2017 Accepting new patients
Baptist Cardiology, Inc. Cardiovascular Disease CurrentSince Sep 29, 2025 Accepting new patients
Northwest Physicians LLC CurrentSince Aug 1, 2017 Accepting new patients
Baptist Cardiology Inc Cardiovascular Disease CurrentSince Sep 29, 2025 Accepting new patients
Clearwater Cardiovascular and Interventional Consultants MD PA Cardiovascular Disease Past Accepting new patients

Locations

1695 E Rainforest Rd
Ste 4
Fayetteville, AR 72703
Phone (203) 610-4075

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

1348 S 18th St
Ste 200
Fernandina Beach, FL 32034
Phone (904) 202-6683

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125

462626 State Road 200
Ste 103
Yulee, FL 32097
Phone (904) 443-9771

Interoperability endpoints

  • Direct secure messaging: adhanjal322052@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1689874166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746652",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746652",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462626 STATE ROAD 200 STE 103",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975513",
            "telephone_number": "904-443-9771",
            "fax_number": "904-858-3288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 S 18th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320344729",
            "country_code": "US",
            "telephone_number": "904-261-9786",
            "fax_number": "904-376-3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHANJAL",
        "first_name": "ASHU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME151366",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "25118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yulee, FL

Sources for this page

Verify at the official NPI Registry.