Individual provider

Omer Ismaeel, MD

Internal Medicine Physician Hospitalist Physician Medicare enrolled

Omer Ismaeel, MD is an Internal Medicine Physician in Orange Park, FL, registered under NPI 1104389469. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2140 KINGSLEY AVE STE 1, Orange Park, FL 32073. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2140 KINGSLEY AVE STE 1, Orange Park, FL 32073 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ME162466 FL Internal Medicine Physician primary
ME162466 FL Hospitalist Physician

This provider holds licence ME162466 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Internal Medicine
PAC ID
1456688423

Medicare enrolment is recorded as approved under the provider type Practitioner - Internal Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Internal Medicine covers

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. NUCC Health Care Provider Taxonomy, code 207R00000X
Allopathic & Osteopathic Physicians Internal Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207R00000X Internal Medicine Physician ME162466 FL primary
208M00000X Hospitalist Physician ME162466 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104389469 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 12, 2019
Last updatedApr 30, 2025
StatusActive
Sole proprietorNo
CredentialMD
Practice address 2140 KINGSLEY AVE STE 1
Orange Park, FL 32073
(904) 368-6809
Mailing address 2307 LAKEHORE DR NORTH
Fleming Island, FL 32003
This record was updated on Apr 30, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104389469 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 3 8 9 4 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 6 8 9 4 3

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104389469?
NPI 1104389469 is the National Provider Identifier assigned to Omer Ismaeel, MD in Orange Park, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Internal Medicine Physician cover?
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…
How do I contact Omer Ismaeel, MD?
The phone number on file with NPPES is (904) 368-6809, last updated Apr 30, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Omer Ismaeel, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104389469 a valid number?
Yes. 1104389469 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.