Active NPI
Iman Naseri, M.D.
- Otolaryngology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME105498
- Practice address
- 6817 Southpoint Parkway
Suite 502
Jacksonville, FL 32216-6289 - Phone
- (904) 595-7475
- Fax
- (904) 595-7480
- NPI assigned
- Dec 27, 2007
- Last updated
- Mar 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 056201 | GA | |
| Otolaryngology Physician | 207Y00000X | ME105498 | FL | Primary |
Addresses
Primary practice location
6817 Southpoint Parkway
Suite 502
Jacksonville, FL 32216-6289
Mailing address
6817 Southpoint Parkway Suite 502
Jacksonville, FL 32216-6289
Phone (904) 595-7475
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01368157 | Other | FL | RR MEDICARE |
| 0013083-00 | Medicaid | FL | |
| 478745301A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Medical University of South Carolina College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6817 Southpoint Pkwy
Suite 502
Jacksonville, FL 32216-6289
Phone (904) 595-7475
Hospital & facility affiliations
- Ascension St Vincent's Southside
- HCA Florida Memorial Hospital
- Baptist Health Medical Center - Jacksonville
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 64.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.88
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056201 | GA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Sinus Center | Otolaryngology | Current | Accepting new patients |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients |
Locations
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
14546 Old St Augustine Rd
Ste 401
Jacksonville, FL 32258
Phone (904) 268-5366
6817 Southpoint Pkwy
Ste 502
Jacksonville, FL 32216
Phone (904) 595-7475
836 Prudential Dr
Ste 1601
Jacksonville, FL 32207
Phone (904) 396-2400
Interoperability endpoints
- iman.naseri.1@9109.direct.athenahealth.com
- inaseri@entaaf.emadirect.md
- inaseri59433@direct.shands.ufl.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Otolaryngology Physician
- Jacksonville, FL
- NPI 1215443635
-
- Otolaryngology Physician
- Jacksonville, FL
- NPI 1306314380
-
- Otolaryngology Physician
- Jacksonville, FL
- NPI 1851837728
-
dba NFS Florida Bone and Joint
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Memorial Hospital
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
dba Ascension St. Vincent's Southside
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1700060555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6817 SOUTHPOINT PARKWAY SUITE 502",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322166289",
"telephone_number": "904-595-7475",
"fax_number": "904-595-7480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6817 SOUTHPOINT PARKWAY",
"address_2": "SUITE 502",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322166289",
"telephone_number": "904-595-7475",
"fax_number": "904-595-7480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASERI",
"first_name": "IMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-27",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "056201",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME105498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01368157",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0013083-00",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "478745301A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.