Active NPI
Bashar S Saikaly, MD
- Cardiovascular Disease Physician
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME 78252
- Practice address
- 300 Health Park Blvd
Suite 1006
St Augustine, FL 32086-3707 - Phone
- (904) 794-7050
- Fax
- (904) 794-7135
- NPI assigned
- Jun 10, 2005
- Last updated
- Aug 9, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME 78252 | FL | Primary |
Addresses
Primary practice location
300 Health Park Blvd
Suite 1006
St Augustine, FL 32086-3707
Mailing address
3550 University Blvd S
Ste 302
Jacksonville, FL 32216-4225
Phone (904) 733-4444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060055960 | Other | FL | RAILROAD MEDICARE |
| 46619 | Other | FL | BCBS |
| 258342900 | Medicaid | FL |
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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12276 San Jose Blvd
Suite 617
Jacksonville, FL 32223-8672
Phone (904) 733-4444
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.08 of 100
- Quality
- 88.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 78252 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Baker & Gilmour MD PA | Cardiovascular Disease | Current | Accepting new patients |
| DRS Baker & Gilmour MD PA | Cardiovascular Disease | Current | Accepting new patients |
| DRS Baker & Gilmour MD PA | Cardiovascular Disease | Current | Accepting new patients |
Locations
12276 San Jose Blvd
Ste 617
Jacksonville, FL 32223
Phone (904) 262-9075
3550 University Blvd S
Ste 302
Jacksonville, FL 32216
Phone (904) 733-4444
16 Saint Johns Medical Park Dr
St Augustine, FL 32086
Phone (904) 794-5411
300 Health Park Blvd
Ste 1006
St Augustine, FL 32086
Phone (904) 794-7050
Interoperability endpoints
- basharsaikaly@bgci.allscriptsdirect.net
- bsaikaly740690@direct.shands.ufl.edu
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1962555490
-
- Cardiovascular Disease Physician
- St Augustine, FL
- NPI 1174673859
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1841783701
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
dba AdventHealth Palm Coast
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1700880390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 UNIVERSITY BLVD S",
"address_2": "STE 302",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164225",
"telephone_number": "904-733-4444",
"fax_number": "904-733-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HEALTH PARK BLVD",
"address_2": "SUITE 1006",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320863707",
"telephone_number": "904-794-7050",
"fax_number": "904-794-7135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAIKALY",
"first_name": "BASHAR",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME 78252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060055960",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "46619",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258342900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
- George Edward Sadowski, M.D.
- Safe Harbor Counseling, Inc
- Sage Chiropractic Wellness Center LLC
- Janice K Sage, D.C.
- Justin Sager, D.O.
- Sami Kameel Saikaly, M.D.
- Tanya Siham Saikaly, DMD
- Saint Augustine Hospitalists Primary Care
- Saint Augustine Rehabilitation Specialists LLC
- Saint Augustine Rehabilitation Specialists LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.