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DR. EJAZ YOUSEF MD
NPI 1205996402
Pediatrics - Pediatric Allergy/Immunology in Jacksonville, FL

Active since December 11, 2006PECOS Enrolled
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE, JACKSONVILLE, FL 32207(904) 697-3600(904) 697-3455 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ejaz Yousef Md NPPES

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

DR. EJAZ YOUSEF MD (NPI 1205996402) is an individual pediatric allergy/immunology provider in Jacksonville, Florida, licensed in Florida (ME120908) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205996402
Entity TypeIndividualMale
Primary Taxonomy2080P0201X
Provider Legal NameDR. EJAZ YOUSEFCredential: MD
Location Address807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLEJacksonville, FL 32207-8426
Mailing AddressPo Box 191, Provider Enrollment DepartmentRockland, DE 19732-0191 · (302) 651-6212 · Fax (302) 651-4945
Phone(904) 697-3600
Fax(904) 697-3455
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateMay 6, 2015
✔ NPI 1205996402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0201X
Licenses✔ Licensed in FL · ME120908✔ Licensed in WI · 56579✔ Licensed in DE · C10006135
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 56579 (WI)
807 CHILDRENS WAY, Jacksonville, FL 32207
Open in Google Maps ↗

Other Identifiers 9

Medicaid8301018MD
Medicare PIN006508T34
Medicaid001680789PA
Medicaid0033153424BGA
Medicaid64050859KY
Medicaid013670600FL
Medicaid8003700NJ
Medicare UPING64419
Medicaid1205996402WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ejaz Yousef Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Ejaz Yousef reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Nemours Foundation
Same address
Multi-Specialty
807 CHILDRENS WAY
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
NPI 1265585806 (904) 697-3600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. KENNETH FRANZ-JOSEPH HEARN MD
Pediatrics
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 697-3600
MR. HUGH E. GRIFFENKRANZ PA-C
Physician Assistant
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3737
JACQUELINE M NOE
Physician Assistant
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Duval County (904) 697-3600
ERIC P. SHERLIN R.PH
Pharmacist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3601
KELLY MARIE SUMMERS ARNP
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 697-3600
ROBERT C SPRECHER MD
Otolaryngology (Pediatric Otolaryngology)
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Duval County (904) 697-3694
DR. DOREEN RADJENOVIC ARNP
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3759
GRACE ELIZABETH ALLEMAN SLP
Speech-Language Pathologist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (907) 697-3600

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 Ejaz Yousef's NPI number?

The NPI number for Ejaz Yousef is 1205996402. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Ejaz Yousef located?

Ejaz Yousef practices at 807 Childrens Way Nemours Childrens Clinic, Jacksonville, Jacksonville, FL 32207. The listed phone number is (904) 697-3600.

What is Ejaz Yousef's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Is Ejaz Yousef enrolled in Medicare?

Yes. Ejaz Yousef is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ejaz Yousef's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ejaz Yousef reassigns Medicare benefits to The Nemours Foundation (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ejaz Yousef's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ejaz Yousef accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ejaz Yousef as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ejaz Yousef was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.