Individual provider Active NPI

Nadia Eid

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1932580958
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME134593 Issued in FL
Practice address
Blake Medical Center
2020 59TH Street West
Bradenton, FL 34209
Phone
(941) 792-6611
NPI assigned
Jun 16, 2015
Last updated
Mar 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME134593 FL Primary

Addresses

Primary practice location

Blake Medical Center
2020 59TH Street West
Bradenton, FL 34209

Mailing address

9334 Cerulean Dr Apt 202
Riverview, FL 33578-4777
Phone (419) 902-9155

Other practice location 1

blake medical center
2020 59th street west
bradenton, FL 34209
Phone (941) 792-6611

Other identifiers 1

IdentifierTypeStateIssuer
1932580958MedicaidFL

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
I20180901000003 FL Practitioner - Internal Medicine 7214287853 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Im LLCGroup PAC ID 6406074947, 16 clinicians
Sunstate Physicians LLCGroup PAC ID 3577813617, 14 clinicians

Practice addresses (Care Compare)

119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 681-5551

801 W Bay Dr
Suite 321
Largo, FL 33770-3227
Phone (727) 316-5033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME134593FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Im LLC Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Sunstate Physicians LLC Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients

Locations

2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

801 West Bay Dr
Ste 321
Largo, FL 33770
Phone (561) 302-6086

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400

6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402

Interoperability endpoints

  • Direct secure messaging: nadia.eid@hca4.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1932580958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9334 CERULEAN DR APT 202",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784777",
            "telephone_number": "419-902-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLAKE MEDICAL CENTER",
            "address_2": "2020 59TH STREET WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34209",
            "telephone_number": "941-792-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "blake medical center",
            "address_2": "2020 59th street west",
            "address_purpose": "LOCATION",
            "city": "bradenton",
            "state": "FL",
            "postal_code": "34209",
            "country_code": "US",
            "telephone_number": "941-792-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EID",
        "first_name": "NADIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME134593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932580958",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.