Imad Jandali, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME52919 Issued in FL

Practice address

225 Mariner Blvd
Spring Hill, FL 34609-5692

Phone

(352) 688-0100

Fax

(352) 688-1003

NPI assigned

Mar 23, 2006

Last updated

May 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General PracticeAlso: Pediatric Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: familyexpressurgentcare@143013.advancedmd-direct.com

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.

• All Care Urgent Care, LLC Dba Family Express Urgent Care

  • Urgent Care Clinic/Center
  • Lutz, FL
  • NPI 1447779681
  Medicare reassignment NPD Authorized official
• All Pediatric Care, P.a.

  • Pediatrics Physician
  • Spring Hill, FL
  • NPI 1942260245
  NPD Authorized official

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1902866270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095692",
            "telephone_number": "352-688-0100",
            "fax_number": "352-688-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095692",
            "telephone_number": "352-688-0100",
            "fax_number": "352-688-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANDALI",
        "first_name": "IMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME52919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049244200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sir Benjomyne Jaimes Jackson, RDN
• Karen Jacques-Huntley, ARNP
• James R Pizzuto DC LLC (Absolute Health Chiropractic)
• James R Wilson MD PA
• Brian Dion James, MD
• Deborah Sue Janowski, CERTIFIED PHARMACY T
• Ryan Oswald Jansen Van Rensburg, MD
• Yatrid Evelyn Jara Coello, APRN,FNP-C
• Lili Belle Hipolito Javier, PT
• Adeel Jawaid, NP

• Pediatrics Physician in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.