Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Omer Ismaeel, MD

Individual provider Internal Medicine Physician · NPI 1104389469

Omer Ismaeel, MD is an Internal Medicine in Orange Park, Florida. Qualified in 2018, 8 years ago. Practices with Hni Medical Services of Florida, LLC, a 103-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2019
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

2140 Kingsley Ave Ste 1
Orange Park, FL 32073-5129
Phone: (904) 368-6809
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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 ME162466 (FL)
Hospitalist Physician Taxonomy 208M00000X · Licence ME162466 (FL)

Record details

NPI number1104389469
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2019
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing address2307 Lakehore Dr North, Fleming Island, FL 32003

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Hni Medical Services Of Florida, Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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