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ASCENSION INTERNAL MEDICINE OF FLORIDA, LLC
NPI 1811233505
Internal Medicine in Live Oak, FL

Active since December 27, 2012CLIA 10D2188219 · Waiver
1426 CANYON AVE NE STE C, LIVE OAK, FL 32064(386) 208-0537(386) 208-0571 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Dec 10, 2020 (2 updates tracked since 2020).

About Ascension Internal Medicine Of Florida, Llc NPPES

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

ASCENSION INTERNAL MEDICINE OF FLORIDA, LLC (NPI 1811233505) is a healthcare organization registered as an internal medicine in Live Oak, Florida and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through July 13, 2028 and lists Malik M Naqi, Director, as its authorized official.

NPPES Registry Identity

NPI1811233505
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameASCENSION INTERNAL MEDICINE OF FLORIDA, LLC
Location Address1426 CANYON AVE NE STE CLive Oak, FL 32064-4832
Mailing Address8924 Sw 15th AveGainesville, FL 32607-7014 · (269) 277-3536
Phone(386) 208-0537
Fax(386) 208-0571
Organization SubpartNo
Authorized OfficialMalik M NaqiDirector · (386) 208-0537
Enumeration DateDecember 27, 2012
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
✔ NPI 1811233505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.

Other Identifiers 1

Medicaid008086300FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Ascension Internal Medicine Of Florida, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Ascension Internal Medicine Of Florida, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Farrukh Ambareen, M.D.
Internal Medicine
NPI 1063404457
7109 NW 11TH PL STE A
Gainesville, FL 32605
(352) 331-2890
✔ PECOS✔ Accepts Medicare
April Bayless-Sakellarios, ARNP
Nurse Practitioner
NPI 1942621719
15260 NW 147TH DR SUITE 100
Alachua, FL 32615
(386) 418-1222
✔ PECOS✔ Accepts Medicare
Donna Hoss-Green, FNP
Nurse Practitioner
NPI 1467643163
1426 CANYON AVE NE STE C
Live Oak, FL 32064
(386) 208-0537
✔ PECOS✔ Accepts Medicare
Malik Naqi, MD
Internal Medicine
NPI 1083881668
1426 CANYON AVE NE STE C
Live Oak, FL 32064
(386) 208-0537
✔ PECOS✔ Accepts Medicare
Kristina North, APRN
Nurse Practitioner
NPI 1114574548
1100 11TH ST SW
Live Oak, FL 32064
(386) 362-0800
✔ PECOS✔ Accepts Medicare
Jennifer Poucher
Nurse Practitioner
NPI 1255084976
289 SW RANGE AVE STE C
Madison, FL 32340
(850) 973-2252
✔ PECOS✔ Accepts Medicare
Mohammad Taqi, MD
Internal Medicine
NPI 1972595254
1600 SW ARCHER RD
Gainesville, FL 32610
(352) 273-5159
✔ PECOS✔ Accepts Medicare

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2188219

Ascension Internal Medicine Of Florida, LLC · Live Oak, FL
Active · expires Jul 13, 2028
CLIA Number10D2188219
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2026
Certificate Expiration DateJuly 13, 2028
Laboratory DirectorMalik Naqi
Laboratory Phone(269) 277-3536
Laboratory LocationAscension Internal Medicine Of Florida, LLC1426 Canyon Ave NE Ste C, Live Oak, FL 32064
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ascension Internal Medicine Of Florida, LLC's NPI number?

The NPI number for Ascension Internal Medicine Of Florida, LLC is 1811233505. It was assigned to this organization in the NPPES registry on December 27, 2012.

Where is Ascension Internal Medicine Of Florida, LLC located?

Ascension Internal Medicine Of Florida, LLC is located at 1426 Canyon Ave NE Ste C, Live Oak, FL 32064. The listed phone number is (386) 208-0537.

What is Ascension Internal Medicine Of Florida, LLC's specialty?

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

Is Ascension Internal Medicine Of Florida, LLC enrolled in Medicare?

Yes. Ascension Internal Medicine Of Florida, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ascension Internal Medicine Of Florida, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Ascension Internal Medicine Of Florida, LLC. 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 (4) and Internal Medicine (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ascension Internal Medicine Of Florida, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2188219) is associated with this NPI, valid through July 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ascension Internal Medicine Of Florida, LLC accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ascension Internal Medicine Of Florida, LLC 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 Ascension Internal Medicine Of Florida, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.