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NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA
NPI 1215932520
General Practice in Jacksonville, FL

Active since June 15, 2005
915 WEST MONROE STREET, SUITE 200, JACKSONVILLE, FL 32204(904) 384-2240(904) 384-6055 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 26, 2025, Jun 21, 2024, Jul 21, 2022 (3 updates tracked since 2022).

About Northeast Florida Endocrine And Diabetes Associates Pa NPPES

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

NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA (NPI 1215932520) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since June 2005. The organization lists Elena Oravetz, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1215932520
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameNORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA
Location Address915 WEST MONROE STREET, SUITE 200Jacksonville, FL 32204-1177
Mailing Address915 West Monroe Street, Suite 200Jacksonville, FL 32204-1177 · (904) 384-2240 · Fax (904) 384-6055
Phone(904) 384-2240
Fax(904) 384-6055
Organization SubpartNo
Authorized OfficialElena OravetzCredentialing · (904) 384-2240
Enumeration DateJune 15, 2005
Last NPPES UpdateJune 26, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1215932520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
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
Also ListedSpecialistTaxonomy 174400000X
915 WEST MONROE STREET, Jacksonville, FL 32204
Open in Google Maps ↗

Other Identifiers 1

Medicaid374606200FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Florida Endocrine And Diabetes Associates Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

55

Medicare enrollment records show 55 clinicians reassign Medicare billing to Northeast Florida Endocrine And Diabetes Associates PA, which bills Medicare for the services they deliver. Of these, 29 practice at this address and 49 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner41
Endocrinology12
Internal Medicine1
Podiatry1

Nearest to this location (20)

See all 55
Merna Albury, APRN
Nurse Practitioner
NPI 1760135685
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
Salwa Ayad, M.D.
Endocrinology
NPI 1154396984
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
Kim Buhl, APRN
Nurse Practitioner
NPI 1417589516
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
Cynthia Caranta, APRN
Nurse Practitioner
NPI 1952653180
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
Angel Coffey, APRN
Nurse Practitioner
NPI 1407204845
915 W MONROE ST SUITE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
Catherine Dettelbach Lake, FNP-C
Nurse Practitioner
NPI 1265039424
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
Emily Duani, APRN
Nurse Practitioner
NPI 1578179453
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
J. Evans, M.D.
Endocrinology
NPI 1699779975
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
Grant Freiberg, APRN
Nurse Practitioner
NPI 1083207351
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
Lindsey Gilbert, APRN, AGACNP-BC
Nurse Practitioner
NPI 1609334507
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
Rodel Gloria, APRN
Nurse Practitioner
NPI 1023181245
915 WEST MONROE STREET SUITE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
Akshaya Kambhatla, M.D.
Endocrinology
NPI 1427431667
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
Jenna Loehmann, APRN
Nurse Practitioner
NPI 1407303225
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
James Magee, M.D.
Endocrinology
NPI 1801890389
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
Anil Shrestha, MD
Internal Medicine
NPI 1902869837
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
Ricardo Silva, M.D.
Endocrinology
NPI 1619979788
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
Senan Sultan, M.D.
Endocrinology
NPI 1366461543
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
David Sutton, M.D.
Endocrinology
NPI 1447252523
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
Raquel Villavicencio, MD
Endocrinology
NPI 1134338189
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
Khurram Wadud, M.D.
Endocrinology
NPI 1801877576
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 384-2240
✔ PECOS✔ Accepts MedicareSame address
See all 55 clinicians

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

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 Northeast Florida Endocrine And Diabetes Associates PA's NPI number?

The NPI number for Northeast Florida Endocrine And Diabetes Associates PA is 1215932520. It was assigned to this organization in the NPPES registry on June 15, 2005.

Where is Northeast Florida Endocrine And Diabetes Associates PA located?

Northeast Florida Endocrine And Diabetes Associates PA is located at 915 West Monroe Street Suite 200, Jacksonville, FL 32204. The listed phone number is (904) 384-2240.

What is Northeast Florida Endocrine And Diabetes Associates PA's specialty?

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

Is Northeast Florida Endocrine And Diabetes Associates PA enrolled in Medicare?

Yes. Northeast Florida Endocrine And Diabetes Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Florida Endocrine And Diabetes Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 55 clinicians in 4 Medicare specialties reassign their Medicare billing to Northeast Florida Endocrine And Diabetes Associates PA. A 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 the clinician's services. The largest specialties are Nurse Practitioner (41), Endocrinology (12) and Internal Medicine (1). Of these, 29 practice at this address and 49 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northeast Florida Endocrine And Diabetes Associates PA accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Northeast Florida Endocrine And Diabetes Associates PA 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 Northeast Florida Endocrine And Diabetes Associates PA was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.