| Omer Ismaeel, MD | |
|
2140 Kingsley Ave Ste 1, Orange Park, FL 32073-5129 | |
| (904) 368-6809 | |
| Not Available |
| Full Name | Omer Ismaeel |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 8 Years |
| Location | 2140 Kingsley Ave Ste 1, Orange Park, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104389469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME162466 (Florida) | Primary |
| 208M00000X | Hospitalist | ME162466 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent's Clay County | Middleburg, FL | Hospital |
| Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inpatient Consultants Of Florida, Inc | 4789614785 | 150 |
| Hni Medical Services Of Florida, Llc | 7517202112 | 101 |
| Entity Name | Jacksonville Hospitalists Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871535492 PECOS PAC ID: 3274591631 Enrollment ID: O20041231000013 |
| Entity Name | Inpatient Consultants Of Florida, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
| Entity Name | Hni Medical Services Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426 |
| Entity Name | Hni Hospital Services Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144851411 PECOS PAC ID: 0244661353 Enrollment ID: O20200505001799 |
| Entity Name | Harbor Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407549298 PECOS PAC ID: 8325408784 Enrollment ID: O20230717001936 |
| Mailing Address | Practice Location Address |
|---|---|
| Omer Ismaeel, MD 2307 Lakehore Dr North, Fleming Island, FL 32003 Ph: (904) 993-4272 | Omer Ismaeel, MD 2140 Kingsley Ave Ste 1, Orange Park, FL 32073-5129 Ph: (904) 368-6809 |
Payal Paresh Patel Shooliz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 102, Orange Park, FL 32073 Phone: 904-215-2510 Fax: 904-215-1515 | |
Mark Anthony Stawara, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2035 Professional Ctr Dr, Suite C, Orange Park, FL 32073 Phone: 904-272-0384 Fax: 904-272-6748 | |
Eugene H Mccoskey, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1555 Kingsley Ave Ste 404, Orange Park, FL 32073 Phone: 904-441-1111 Fax: 904-441-1111 | |
Dr. Nadeem Maalouli, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2140 Kingsley Ave, Orange Park, FL 32073 Phone: 904-213-0600 Fax: 904-213-0303 | |
Louis Giovanni Ramirez Lopez, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-2000 Fax: 904-639-2015 | |
Shradha Pokharel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2021 Kingsley Ave, Suite 101, Orange Park, FL 32073 Phone: 904-298-2113 Fax: 904-298-1922 |