DR. ALAN EKANEM MD
NPI 1104272335
General Practice in Jacksonville, FL

Active since May 06, 2016PECOS EnrolledAccepts Medicare Assignment
1028 DUNN AVE, JACKSONVILLE, FL 32218(904) 766-7606(904) 766-7679 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2021, Aug 31, 2020, Jul 25, 2018 and 3 more (6 updates tracked since 2016).

About Dr. Alan Ekanem Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALAN EKANEM MD (NPI 1104272335) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (ACN891) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1104272335
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ALAN EKANEMCredential: MD
Location Address1028 DUNN AVEJacksonville, FL 32218-4830
Mailing Address6101 Blue Lagoon Dr Ste 400Miami, FL 33126-2051 · (305) 500-2000
Fax(904) 766-7679
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 6, 2016
Last NPPES UpdateFebruary 12, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
NPI 1104272335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses Licensed in FL · ACN891 Licensed in PR · 19424
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1028 DUNN AVE, Jacksonville, FL 32218

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Alan Ekanem Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921364803
PECOS Enrollment IDI20171108003642
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services14 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1028 DUNN AVE
JACKSONVILLE, FL 32218
General Practice
1028 DUNN AVE
JACKSONVILLE, FL 32218
General Practice
1028 DUNN AVE
JACKSONVILLE, FL 32218
Nurse Practitioner (Family)
1028 DUNN AVE
JACKSONVILLE, FL 32218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alan Ekanem's NPI number?

The NPI number for Alan Ekanem is 1104272335. It was assigned to this individual provider in the NPPES registry on May 6, 2016.

Where is Alan Ekanem located?

Alan Ekanem practices at 1028 Dunn Ave, Jacksonville, FL 32218. The listed phone number is (904) 766-7606.

What is Alan Ekanem's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Alan Ekanem enrolled in Medicare?

Yes. Alan Ekanem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alan Ekanem was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.