Individual provider Active NPI

Saman Soleymani, MD

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1942260955
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME88018 Issued in FL
Practice address
1633 Race Track Rd
Suite 1
Jacksonville, FL 32259
Phone
(904) 230-6988
Fax
(904) 342-4028
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ME88018 FL Primary

Addresses

Primary practice location

1633 Race Track Rd
Suite 1
Jacksonville, FL 32259

Mailing address

1633 Race Track Rd
Suite 1
Jacksonville, FL 32259
Phone (904) 230-6988

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
I20050607000365 FL Practitioner - Internal Medicine 8022051416

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1633 Race Track Rd
Suite 1
Jacksonville, FL 32259-3234

396 N Lombardy Loop
Jacksonville, FL 32259-5266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88018FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avecina Medical, PA CurrentSince Dec 15, 2005 Accepting new patients
Avecina Medical PA Current Accepting new patients
Avecina Medical PA CurrentSince Dec 15, 2005 Accepting new patients
Solantic LLC Past Accepting new patients
Bartram Chiropractic Inc PastSince Jan 26, 2022 Accepting new patients

Locations

4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372

4160 Southside Blvd
Ste 10
Jacksonville, FL 32216
Phone (904) 900-1717

5915 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 378-0121

1633 Race Track Rd
Ste 1
Jacksonville, FL 32259
Phone (904) 230-6988

9580 Applecross Rd
Ste 106
Jacksonville, FL 32222
Phone (904) 778-9180

16890 US Highway 441
Mount Dora, FL 32757
Phone (352) 250-5546

1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988

17136 SE 109th Terrace Rd
Ste 4
Summerfield, FL 34491
Phone (352) 320-6154

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942260955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 RACE TRACK RD",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32259",
            "telephone_number": "904-230-6988",
            "fax_number": "904-342-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 RACE TRACK RD",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32259",
            "telephone_number": "904-230-6988",
            "fax_number": "904-342-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLEYMANI",
        "first_name": "SAMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME88018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.