Individual provider Active NPI

Ramsey Moosavi, MD

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1750329496
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME93241 Issued in FL
Practice address
9770 Baymeadows Rd.
Suite 115
Jacksonville, FL 32256
Phone
(904) 641-5550
Fax
(904) 641-5520
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME93241 FL Primary

Addresses

Primary practice location

9770 Baymeadows Rd.
Suite 115
Jacksonville, FL 32256

Mailing address

9770 Baymeadows Rd.
Suite 115
Jacksonville, FL 32256
Phone (904) 641-5550

Other identifiers 1

IdentifierTypeStateIssuer
P00238954OtherFLRR MEDICARE

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
I20050907000614 FL Practitioner - Family Practice 3173555406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immediate Medical Care CorpGroup PAC ID 3274636626, 2 clinicians

Practice addresses (Care Compare)

9770 Baymeadows Rd
Suite 115
Jacksonville, FL 32256-7985
Phone (904) 641-5550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME93241FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Medical Care Corp Family Medicine CurrentSince Aug 15, 2006 Accepting new patients
Emergency Medical Specialists of Jacksonville Past Accepting new patients
Solantic LLC Past Accepting new patients

Locations

9770 Old Baymeadows Rd
Ste 115
Jacksonville, FL 32256
Phone (904) 641-5550

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750329496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9770 BAYMEADOWS RD.",
            "address_2": "SUITE 115",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-641-5550",
            "fax_number": "904-641-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9770 BAYMEADOWS RD.",
            "address_2": "SUITE 115",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-641-5550",
            "fax_number": "904-641-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSAVI",
        "first_name": "RAMSEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME93241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00238954",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.