Individual provider Active NPI

Jones Sam John, D.O.

  • Nephrology Physician
  • Lauderhill, FL
National Provider Identifier
1972814895
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS11516 Issued in FL
Practice address
7351 W. Oakland Park Blvd
Suite 105
Lauderhill, FL 33319
Phone
(954) 908-5992
Fax
(954) 951-1171
NPI assigned
Jun 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X OS11516 FL Primary

Addresses

Primary practice location

7351 W. Oakland Park Blvd
Suite 105
Lauderhill, FL 33319

Mailing address

PO Box 277711
Miramar, FL 33027-7711
Phone (954) 908-5992

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jones.John@77753354354692.direct.elationemr.com Direct

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
I20151002001249 FL Practitioner - NephrologyPractitioner - Internal Medicine 9335454800 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7351 W Oakland Park Blvd
Suite 105
Lauderhill, FL 33319-7107
Phone (754) 800-8517

Hospital & facility affiliations

  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228
  • HCA Florida University Hospital Hospital, Davie, FL, CCN 100360
  • North Shore Medical Center Hospital, Miami, FL, CCN 100029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Pensacola LLC CurrentSince Sep 1, 2022 Accepting new patients
Cogent Healthcare of Pensacola LLC Current Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Sep 1, 2022 Accepting new patients
QMC LLC CurrentSince Feb 19, 2020 Accepting new patients
Family Practice of Davie Inc. CurrentSince Dec 23, 2017 Accepting new patients
Compassionate Kidney Care Inc Nephrology CurrentSince Oct 6, 2017 Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

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

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

1150 N University Dr
Pembroke Pines, FL 33024
Phone (954) 432-7860

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

7351 W Oakland Park Blvd
Ste 105
Tamarac, FL 33319
Phone (754) 300-1977

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Interoperability endpoints

  • Direct secure messaging: jones.john@77753354354692.direct.elationemr.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1972814895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277711",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330277711",
            "telephone_number": "954-908-5992",
            "fax_number": "954-951-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7351 W. OAKLAND PARK BLVD",
            "address_2": "SUITE 105",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33319",
            "telephone_number": "954-908-5992",
            "fax_number": "954-951-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "JONES",
        "middle_name": "SAM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "OS11516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jones.John@77753354354692.direct.elationemr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7351 W. Oakland Park Blvd",
            "address_2": "suite 105",
            "city": "Lauderhill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

Verify at the official NPI Registry.