Individual provider Active NPI

Naji Nouneh, M.D.

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1699708222
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME107361 Issued in FL
Practice address
9860 Beach Blvd
Jacksonville, FL 32246-4704
Phone
(904) 807-9112
Fax
(904) 807-9114
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A90121 CA
Internal Medicine Physician 207R00000X ME107361 FL Primary

Addresses

Primary practice location

9860 Beach Blvd
Jacksonville, FL 32246-4704

Mailing address

9860 Beach Blvd
Jacksonville, FL 32246-4704
Phone (904) 807-9112

Other identifiers 1

IdentifierTypeStateIssuer
ME107361OtherFLFL DEPT OF HEALTH

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
I20130501000353 FL Practitioner - Internal Medicine 1052395787 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services of Florida, LLC Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Compassionate Medical Center, LLC CurrentSince Oct 1, 2022 Accepting new patients
Beach Medical Specialist PA Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Sunsouth Health Centers South Florida, LLC CurrentSince Jan 28, 2024 Accepting new patients
Four M Medical Mart a Medical Corporation Past Accepting new patients
Mahfouz M. Michael,M.D.,Inc. Internal Medicine Past Accepting new patients
Mahfouz M. Michael,M.D.,Inc. Internal Medicine Past Accepting new patients
North Florida Multispecialty Physicians LLC Internal Medicine PastSince Jun 1, 2019 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine Past Accepting new patients
Central Florida Inpatient Medicine LLC Internal Medicine PastSince Jul 21, 2024 Accepting new patients

Locations

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

9860 Beach Blvd
Jacksonville, FL 32246
Phone (904) 200-2978

2475 10th Ave N
Lake Worth, FL 33461
Phone (461) 287-6063

1901 NW 17th Ave
Miami, FL 33125
Phone (305) 325-0011

14255 SW 42nd St
Unit 13A
Miami, FL 33175
Phone (305) 306-3400

1670 St Vincents Way
Middleburg, FL 32068
Phone (904) 308-3960

7910 W McNab Rd
North Lauderdale, FL 33068
Phone (954) 666-9362

14690 Spring Hill Dr
Ste 101
Spring Hill, FL 34609

1600 36th St
Ste C
Vero Beach, FL 32960
Phone (772) 217-4422

1485 37th St
Ste 102
Vero Beach, FL 32960
Phone (772) 567-0033

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIABAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCHICA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFECAD

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1699708222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9860 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464704",
            "telephone_number": "904-807-9112",
            "fax_number": "904-807-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9860 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464704",
            "telephone_number": "904-807-9112",
            "fax_number": "904-807-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUNEH",
        "first_name": "NAJI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A90121",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME107361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DEPT OF HEALTH",
            "identifier": "ME107361",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.