Advanced Ear, Nose, Throat Associates, LLC
NPI 1861791402 · Otolaryngology Physician · Jacksonville Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Ear, Nose, Throat Associates, LLC is a Otolaryngology Physician organization in Jacksonville Beach, FL (NPI 1861791402).
Provider details
- NPI number
- 1861791402
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kunal Thakkar, President(904) 339-0350
- License
- ME104096 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4205 Belfort Rd Ste 2005Jacksonville, FL 32216-5876Phone: (904) 339-0350
Registry dates
- Enumerated
- 2011-03-22
- Last updated
- 2018-12-06
Frequently asked questions
- What is Advanced Ear, Nose, Throat Associates, LLC's NPI number?
- Advanced Ear, Nose, Throat Associates, LLC's National Provider Identifier (NPI) is 1861791402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Ear, Nose, Throat Associates, LLC?
- Advanced Ear, Nose, Throat Associates, LLC is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Ear, Nose, Throat Associates, LLC located?
- Advanced Ear, Nose, Throat Associates, LLC's practice location on file with NPPES is 1560 Roberts Dr, Jacksonville Beach, FL 32250-3222.
- What is Advanced Ear, Nose, Throat Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Ear, Nose, Throat Associates, LLC is (904) 339-0350.
- Does Advanced Ear, Nose, Throat Associates, LLC accept Medicare?
- Advanced Ear, Nose, Throat Associates, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advanced Ear, Nose, Throat Associates, LLC?
- The authorized official listed on Advanced Ear, Nose, Throat Associates, LLC's NPPES record is Kunal Thakkar, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Ear, Nose, Throat Associates, LLC's NPI active?
- Yes — Advanced Ear, Nose, Throat Associates, LLC's NPI (1861791402) is active in the NPPES registry as of the last update on 2018-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.