OSMAN ISMAEEL
NPI 1689202574
Internal Medicine in Middleburg, FL

Q: What is Osman Ismaeel's NPI number?

The NPI number for Osman Ismaeel is 1689202574. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Q: What is Osman Ismaeel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Osman Ismaeel was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 March 28, 2020PECOS EnrolledAccepts Medicare Assignment

1670 ST VINCENTS WAY, MIDDLEBURG, FL 32068(904) 602-1000 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2024, Dec 9, 2023, Jul 13, 2023 and 1 more (4 updates tracked since 2020).

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About Osman Ismaeel NPPES

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

OSMAN ISMAEEL (NPI 1689202574) is an individual internal medicine provider in Middleburg, Florida, licensed in Florida (ME159652) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689202574

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameOSMAN ISMAEEL

Location Address1670 ST VINCENTS WAYMiddleburg, FL 32068-8447

Mailing Address2140 Kingsley Ave Ste 1Orange Park, FL 32073-5129

Phone(904) 602-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 28, 2020

Last NPPES UpdateNovember 12, 20244 updates tracked since enumeration

NPPES CertifiedNovember 12, 2024

✔ NPI 1689202574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME159652

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License ME159652 (FL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1670 ST VINCENTS WAY, Middleburg, FL 32068

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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), Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Osman Ismaeel 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 ID3173918075

PECOS Enrollment IDI20230726004142

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 Reassignments

Medicare enrollment records show Osman Ismaeel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harbor Physicians LLC

6.7 mi

Multi-Specialty

2140 KINGSLEY AVE STE 1
Orange Park, FL 32073

Reassigned Medicare billing, Florida enrollment
3 clinicians in this Medicare group

NPI 1407549298 (904) 368-6809

Inpatient Consultants Of Florida, Inc

6.9 mi

Internal Medicine

2001 KINGSLEY AVE
Orange Park, FL 32073

Reassigned Medicare billing, Florida enrollment
903 clinicians in this Medicare group

NPI 1396795597 (954) 377-2909

Hni Medical Services Of Florida, LLC

17 mi

Internal Medicine

1 SHIRCLIFF WAY
Jacksonville, FL 32204

Reassigned Medicare billing, Florida enrollment
492 clinicians in this Medicare group

NPI 1679048284 (512) 730-3060

Hni Hospital Services Of Florida, LLC

228 mi

Critical Care Medicine

615 N BONITA AVE
Panama City, FL 32401

Reassigned Medicare billing, Florida enrollment
281 clinicians in this Medicare group

NPI 1144851411 (440) 572-5000

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

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

415 services208 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

232 services216 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

111 services70 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

86 services85 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

60 services59 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100001

Location655 W 8th StJacksonville, FL 32209 · Duval County

Emergency services Birthing friendly

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100040

Location1 Shircliff WayJacksonville, FL 32204 · Duval County

Emergency services

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100179

Location3625 University Blvd SJacksonville, FL 32216 · Duval County

Emergency services Birthing friendly

Hca Florida Putnam Hospital

Acute Care Hospitals · Palatka, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100232

Location611 Zeagler DrPalatka, FL 32177 · Putnam County

Emergency services

Memorial Satilla Health

Acute Care Hospitals · Waycross, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110003

Location1900 Tebeau StreetWaycross, GA 31501 · Ware County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PEDIATRIX MEDICAL GROUP OF FLORIDA INC

Pediatrics (Neonatal-Perinatal Medicine)