Individual provider

Sourial Sourial, D.O.

Pain Medicine Physician Adult Medicine Physician Interventional Pain Medicine Physician Medicare enrolled

Sourial Sourial, D.O. is a Pain Medicine Physician in Jacksonville, FL, registered under NPI 1205148376. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 9770 OLD BAYMEADOWS RD STE 141, Jacksonville, FL 32256. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

9770 OLD BAYMEADOWS RD STE 141, Jacksonville, FL 32256 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
OS11425 FL Pain Medicine Physician primary
OS11425 FL Adult Medicine Physician
OS11425 FL Interventional Pain Medicine Physician

This provider holds licence OS11425 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 - Pain Management
PAC ID
5597937938

Medicare enrolment is recorded as approved under the provider type Practitioner - Pain Management. 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 Pain Medicine covers

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. NUCC Health Care Provider Taxonomy, code 208VP0000X
Allopathic & Osteopathic Physicians Pain Medicine Pain Medicine

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208VP0000X Pain Medicine Physician Pain Medicine OS11425 FL primary
207QA0505X Adult Medicine Physician Adult Medicine OS11425 FL
208VP0014X Interventional Pain Medicine Physician Interventional Pain Medicine OS11425 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.

NPI1205148376 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 6, 2010
Last updatedDec 12, 2024
StatusActive
Sole proprietorNo
CredentialD.O.
Practice address 9770 OLD BAYMEADOWS RD STE 141
Jacksonville, FL 32256
(904) 944-2124
Fax (888) 241-3383
Mailing address 10689 TOWN VIEW DR
Jacksonville, FL 32256
This record was updated on Dec 12, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1205148376 passes the NPI check digit test The final digit 6 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 2 0 5 1 4 8 3 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 2 4 7 3 5

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

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 1205148376?
NPI 1205148376 is the National Provider Identifier assigned to Sourial Sourial, D.O. in Jacksonville, 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 Pain Medicine cover?
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A…
How do I contact Sourial Sourial, D.O.?
The phone number on file with NPPES is (904) 944-2124, last updated Dec 12, 2024. 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 Sourial Sourial, D.O. 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 1205148376 a valid number?
Yes. 1205148376 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.