Individual provider Active NPI

Bashar S Saikaly, MD

  • Cardiovascular Disease Physician
  • St Augustine, FL
National Provider Identifier
1700880390
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 78252 Issued in FL
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
060055960OtherFLRAILROAD MEDICARE
46619OtherFLBCBS
258342900MedicaidFL

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
I20100812000432 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4284768276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Baker and Gilmour MD PAGroup PAC ID 5193622058, 4 clinicians

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 100Reported as group
Quality
88.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 78252FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Baker & Gilmour MD PA Cardiovascular Disease Current Accepting new patients
DRS Baker & Gilmour MD PA Cardiovascular Disease CurrentSince Oct 1, 1999 Accepting new patients
DRS Baker & Gilmour MD PA Cardiovascular Disease CurrentSince Oct 1, 1999 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

  • Direct secure messaging: basharsaikaly@bgci.allscriptsdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Sources for this page

Verify at the official NPI Registry.