Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Manoj Pulicottil, MD

Individual provider Internal Medicine Physician · NPI 1306877972

Manoj Pulicottil, MD practises Internal Medicine in Jacksonville, Florida. Qualified in 1998, 28 years ago. Practices with St Vincent's Ambulatory Care Inc, a 302-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Massachusetts.

Years since qualifying
28
Licensed in
GA, MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4205 Belfort Rd Joe Adams Bldg Ste 2005
Jacksonville, FL 32216-5876 Not confirmed with CMS for 12 years — call before visiting
Phone: (904) 398-5123
Fax: (904) 399-1962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 234503 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 055273 (GA)

Record details

NPI number1306877972
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESMay 23, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice St Vincent'S Ambulatory Care Inc — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients234
Services billed 851 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Baptist Health Medical Center - Jacksonville Hospital · Jacksonville, FL · listed as Dastagir a Khan MD, PA
  • Hca Florida Memorial Hospital Hospital · Jacksonville, FL · listed as Memorial Hospital
  • Ascension Health At Home Of Florida 1 Llc Home health agency · Jacksonville, FL · listed as Ascension Health at Home of Florida I, LLC
  • Ascension St Vincent'S Riverside Hospital · Jacksonville, FL
  • Ascension St Vincent'S Southside Hospital · Jacksonville, FL
  • Ascension St Vincent'S St Johns County Hospital · St. Johns, FL
  • Brooks Rehabilitation Home Health Home health agency · Jacksonville, FL
  • Concierge Home Care Home health agency · Jacksonville, FL

Also affiliated with 1 inpatient rehabilitation facility, which CMS identifies by certification number only.

Colleagues at St Vincent's Ambulatory Care Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 302 clinicians in the practice; 12 are shown here.

Other providers in Jacksonville