Individual provider Active NPI

Sobia Najm Masoud, M.D

  • Pediatrics Physician
  • Naples, FL
National Provider Identifier
1972646495
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME97959 Issued in FL
Practice address
2940 Immokalee Rd
Suite 2
Naples, FL 34110-1409
Phone
(239) 598-5750
Fax
(239) 593-1989
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME97959 FL Primary

Addresses

Primary practice location

2940 Immokalee Rd
Suite 2
Naples, FL 34110-1409

Mailing address

1735 Triangle Palm Ter
Naples, FL 34119-3396
Phone (239) 595-2456

Other identifiers 1

IdentifierTypeStateIssuer
278433500MedicaidFL

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME97959FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sobia Najm Masoud MD.PA. Pediatrics CurrentSince Jun 6, 2021 Accepting new patients
Robert W. Wilson, D.O., P.a. Past Accepting new patients

Locations

2940 Immokalee Rd
Ste 2
Naples, FL 34110
Phone (239) 595-2456

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1972646495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 TRIANGLE PALM TER",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193396",
            "telephone_number": "239-595-2456",
            "fax_number": "239-593-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 IMMOKALEE RD",
            "address_2": "SUITE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101409",
            "telephone_number": "239-598-5750",
            "fax_number": "239-593-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJM MASOUD",
        "first_name": "SOBIA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME97959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278433500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.