Active NPI
Seied Ali Safi, M.D.
- Pediatrics Physician
- Jacksonville, FL
National Provider Identifier
1871864561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME54100
- Practice address
- 9770 Old Baymeadows Rd
Suite 109
Jacksonville, FL 32256-7909 - Phone
- (904) 564-2700
- Fax
- (904) 564-2800
- NPI assigned
- Jan 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME54100 | FL | Primary |
Addresses
Primary practice location
9770 Old Baymeadows Rd
Suite 109
Jacksonville, FL 32256-7909
Mailing address
9770 Old Baymeadows Rd
Suite 109
Jacksonville, FL 32256-7909
Phone (904) 564-2700
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191457 | Other | FL | WELLCARE/HEALTHEASE |
| 08314 | Other | FL | BLUE CROSS BLUE SHIELD |
| 061396700 | Medicaid | FL | |
| 209183 | Other | FL | AVMED |
| 593442982 | Other | FL | AETNA |
| 593442982 | Other | FL | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME54100 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S. Ali Safi, M.D. Pediatrics | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Jacksonville, FL
- NPI 1962496273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1871864561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9770 OLD BAYMEADOWS RD",
"address_2": "SUITE 109",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567909",
"telephone_number": "904-564-2700",
"fax_number": "904-564-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9770 OLD BAYMEADOWS RD",
"address_2": "SUITE 109",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567909",
"telephone_number": "904-564-2700",
"fax_number": "904-564-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFI",
"first_name": "SEIED",
"middle_name": "ALI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-26",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME54100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE/HEALTHEASE",
"identifier": "191457",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08314",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061396700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "209183",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "593442982",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "593442982",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.