OMER ISMAEEL (MD) – Internal Medicine Physician, NPI 1104389469

OMER ISMAEEL (MD) is a healthcare provider. based in Fleming island, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME162466 (FL). The NPI Number for OMER ISMAEEL (MD) is 1104389469

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
OMER ISMAEEL (MD)
NPI
1104389469
Phone
(904) 993-4272
Address
2307 LAKEHORE DR NORTH
Enumeration Date
12 April 2019
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043996111
Graduation Year
2018 (8 years ago)
PAC ID
1456688423
Group Practice PAC ID
4789614785
Professional Enrollment ID
I20230828003001
Address ID
FL322164207JA3625XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

12,378 INTERNAL MEDICINE in FL

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Provider Addresses for OMER ISMAEEL (MD)

  • 2307 LAKEHORE DR NORTH

    FLEMING ISLAND, FL 32003

    Phone: (904) 993-4272

    Type: Mailing

  • Orange Park Medical Center, 2001, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States

    ORANGE PARK, FL 320735148

    Phone: (904) 639-2000

    Type: Location

  • 2140 KINGSLEY AVE STE 1

    ORANGE PARK, FL 320735129

    Phone: (904) 368-6809

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230828003001IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6529$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5026$0
99239Hospital discharge day management, more than 30 minutes4645$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 32003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789614785View full group profile

Reviews

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Frequently asked questions

What NPI should I save for OMER ISMAEEL (MD)?
Save NPI 1104389469 if you need a stable reference for OMER ISMAEEL (MD).
Is OMER ISMAEEL (MD) active in the national directory?
OMER ISMAEEL (MD)'s public NPI profile is in an active state.
Does OMER ISMAEEL (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for OMER ISMAEEL (MD). Clinical services aligned with this taxonomy classification.
Where is OMER ISMAEEL (MD)'s primary listing?
We display Fleming Island, Florida because that is what the record indicates for OMER ISMAEEL (MD).
Is OMER ISMAEEL (MD) a real provider?
This page reflects official NPPES data for NPI 1104389469. Always confirm identity and privileges with the practice and licensing boards.

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