JUDY R ASHOURI MD
NPI 1174987507
Pediatrics - Pediatric Cardiology in Jacksonville, FL

Q: What is Judy Ashouri's NPI number?

The NPI number for Judy Ashouri is 1174987507. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Q: What is Judy Ashouri's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Judy Ashouri was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment

841 PRUDENTIAL DR STE 280, JACKSONVILLE, FL 32207(904) 202-8550(904) 393-7808 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2024, Oct 23, 2023 (2 updates tracked since 2023).

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About Judy R Ashouri Md NPPES

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

JUDY R ASHOURI MD (NPI 1174987507) is an individual pediatric cardiology provider in Jacksonville, Florida, licensed in Florida (ME164517) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2016).

NPPES Registry Identity

NPI1174987507

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameJUDY R ASHOURICredential: MD

Location Address841 PRUDENTIAL DR STE 280Jacksonville, FL 32207-8350

Mailing AddressPo Box 746645Atlanta, GA 30374-6645 · (904) 202-2092 · Fax (904) 376-4075

Phone(904) 202-8550

Fax(904) 393-7808

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 2016

Enumeration DateApril 12, 2016

Last NPPES UpdateJanuary 23, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2025

✔ NPI 1174987507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in FL · ME164517

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License ME164517 (FL)

841 PRUDENTIAL DR STE 280, Jacksonville, FL 32207

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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

Judy R Ashouri 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 ID1254669542

PECOS Enrollment IDI20231027003151

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.

Other Providers at the Same Location NPPES 20

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

SARA E MENDOZA CRESPO MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)