Shukri Abdullah, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2018042049 Issued in MO

Practice address

1200 Riverplace Blvd
Suite: 620
Jacksonville, FL 32207-9046

Phone

(904) 396-6620

Fax

(904) 396-6528

NPI assigned

May 17, 2006

Last updated

Jan 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

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.

• Alteon Health Alabama, LLC

  • Emergency Medicine Physician
  • Talladega, AL
  • NPI 1477708857
  NPD (past)
• Callaway Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Fulton, MO
  • NPI 1922054543
  NPD (past)
• Dexter Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Dexter, MO
  • NPI 1154365070
  NPD (past)
• Hannibal Regional Healthcare System Inc

  • Multi-Specialty Clinic/Center
  • Hannibal, MO
  • NPI 1003956095
  NPD (past)
• Mercy Hospital Grayling

  dba Mercy Health Cancer Center

  • Hematology & Oncology Physician
  • Grayling, MI
  • NPI 1427489509
  NPD (past)
• Mercy Professional Services

  • Internal Medicine Physician
  • Grayling, MI
  • NPI 1912951468
  NPD (past)
• Midwest Hospitalists Services PLLC

  • Hospitalist Physician
  • Tahlequah, OK
  • NPI 1023098936
  NPD (past)
• Quantum Healthcare Medical Associates Inc.

  • Hospitalist Physician
  • Colton, CA
  • NPI 1568490597

  Internal Medicine

  NPD (past)
• Templeton Inpatient Physicians PC

  • Orthopaedic Surgery Physician
  • Templeton, CA
  • NPI 1871757575

  Internal Medicine

  NPD (past)
• Twin Rivers Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Kennett, MO
  • NPI 1184668907
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1861444879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 W 23RD STREET",
            "address_2": "PMB 244",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053992",
            "telephone_number": "850-215-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RIVERPLACE BLVD",
            "address_2": "SUITE: 620",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079046",
            "telephone_number": "904-396-6620",
            "fax_number": "904-396-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLAH",
        "first_name": "SHUKRI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME108424",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2018042049",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A96702",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A96702",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A967020",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "0-608-847-0",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Abdulla
• Amirah Abdullah
• Jabril Abdullah
• Nefertiti Sameera Abdullah, PHARMD
• Rasheed Abdullah, CAP
• Ahmad Yaser Abdulzahir
• Asma Abdur-Rahman
• Mubarak N Abdur-Rahman, MD
• Alice Lillian Abdur-Razzaaq, PMHNP
• Juliann Abecassis

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.