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DR. HANIE FAWZY ABDEL MASIH D.O.
NPI 1003202458
Family Medicine in Jacksonville, FL

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209(904) 475-5800 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2026, Apr 6, 2021, May 20, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Hanie Fawzy Abdel Masih D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HANIE FAWZY ABDEL MASIH D.O. (NPI 1003202458) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (OS18126) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2015).

NPPES Registry Identity

NPI1003202458
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HANIE FAWZY ABDEL MASIHCredential: D.O.
Location Address1536 N JEFFERSON STJacksonville, FL 32209-6525
Mailing Address1536 N Jefferson StJacksonville, FL 32209-6525 · (904) 475-5800
Phone(904) 475-5800
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2015
Enumeration DateApril 13, 2015
Last NPPES UpdateApril 14, 20264 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1003202458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS18126
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1536 N JEFFERSON ST, Jacksonville, FL 32209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hanie Fawzy Abdel Masih D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153675236
PECOS Enrollment IDI20220201002076
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
163 services67 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
34 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers33 claims33 services$113.40 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LAURIE A. CECIL OTD, OTR/L, DRP
Occupational Therapist
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 475-5800
DR. CYNTHIA HARRIS PHARM. D.
Pharmacist
1536 N JEFFERSON ST, JOC PHARMACY DEPARTMENT
JACKSONVILLE, FL 32209
Duval County (904) 475-5938
DR. AMANDA SUE KENT D.O.
Radiology (Diagnostic Radiology)
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 470-6900
DR. RIAZ AHMED M.D.
Psychiatry & Neurology (Psychiatry)
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 470-5800
DR. ROBERT M LEVY D.M.D.
Dentist (General Practice)
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 475-5800
DR. MARTHA B WOMACK PHD
Psychologist (Clinical)
1536 N JEFFERSON ST, JACKSONVILLE OUTPATIENT CLINIC
JACKSONVILLE, FL 32209
Duval County (912) 447-5660
DR. ELIZABETH GARCIA MCCOY M.D.
Internal Medicine
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 475-5800
SHEA VELA LCSW, LICSW
Social Worker (Clinical)
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 475-6305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hanie Abdel Masih's NPI number?

The NPI number for Hanie Abdel Masih is 1003202458. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Hanie Abdel Masih located?

Hanie Abdel Masih practices at 1536 N Jefferson St, Jacksonville, FL 32209. The listed phone number is (904) 475-5800.

What is Hanie Abdel Masih's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hanie Abdel Masih enrolled in Medicare?

Yes. Hanie Abdel Masih is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hanie Abdel Masih accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Hanie Abdel Masih as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hanie Abdel Masih affiliated with any hospitals?

According to CMS data, Hanie Abdel Masih is affiliated with Ascension St Vincent's Riverside and Ascension St Vincent's Southside.

When was this NPI record last updated?

The NPPES record for Hanie Abdel Masih was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.