NPIMap

Individual provider Active NPI

Naeem Haider, MD

  • Nephrology Physician
  • Jacksonville, FL
National Provider Identifier
1811924210
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME0087986 Issued in FL
Practice address
3599 University Blvd So
Suite 805
Jacksonville, FL 32216
Phone
(904) 396-1380
Fax
(904) 396-3878
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME0087986 FL Primary

Addresses

Primary practice location

3599 University Blvd So
Suite 805
Jacksonville, FL 32216

Mailing address

4131 University Blvd S Ste 6
Jacksonville, FL 32216-4346
Phone (904) 737-2722

Other identifiers 1

IdentifierTypeStateIssuer
269445000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414000292 FL Practitioner - Nephrology 0345234068 Receives reassigned benefits from 3 practitioners
Practice locations: Jacksonville, FL; Hilliard, FL; Orange Park, FL; Macclenny, FL

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (904) 308-7300

10614 Lem Turner Rd
Jacksonville, FL 32218-4562
Phone (904) 768-8576

12961 N Main St
Suite 305
Jacksonville, FL 32218-2772
Phone (904) 757-7425

244 N 3Rd St
Macclenny, FL 32063-2106
Phone (904) 259-9660

3599 Univeristy Blvd S
Jacksonville, FL 32216-4252
Phone (904) 345-7607

3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 399-6111

4131 University Blvd S
Suite 6
Jacksonville, FL 32216-4346
Phone (904) 737-2722

4201 Belfort Rd
Jacksonville, FL 32216-1431
Phone (904) 296-3700

4901 Richard St
Jacksonville, FL 32207-7328
Phone (904) 737-3120

5730 Bowden Rd
Suite 110
Jacksonville, FL 32216-6174
Phone (904) 419-0273

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 202-2092

9143 Philips Hwy
Suite 110
Jacksonville, FL 32256-1365
Phone (904) 538-0270

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0087986FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilliard Dialysis Center LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nhaider587933@direct.shands.ufl.edu

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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.

Hospital & facility affiliations 10

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1811924210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY BLVD S STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164346",
            "telephone_number": "904-737-2722",
            "fax_number": "904-737-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD SO",
            "address_2": "SUITE 805",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-396-1380",
            "fax_number": "904-396-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "NAEEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0087986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269445000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.