KHALED SABRY MOHAMED MD
NPI 1053948208
Pathology - Anatomic Pathology & Clinical Pathology in Jacksonville, FL

Q: What is Khaled Mohamed's NPI number?

The NPI number for Khaled Mohamed is 1053948208. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Khaled Mohamed's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Khaled Mohamed was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 26, 2020PECOS Enrolled

655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-4387(904) 244-4060 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2026, Mar 26, 2020 (2 updates tracked since 2020).

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About Khaled Sabry Mohamed Md NPPES

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

KHALED SABRY MOHAMED MD (NPI 1053948208) is an individual anatomic pathology & clinical pathology provider in Jacksonville, Florida, licensed in Florida (ME178398) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053948208

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameKHALED SABRY MOHAMEDCredential: MD

Location Address655 W 8TH STJacksonville, FL 32209-6511

Mailing AddressPo Box 44008Jacksonville, FL 32231-4008

Phone(904) 244-4387

Fax(904) 244-4060

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 26, 2020

Last NPPES UpdateMay 19, 20262 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1053948208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in FL · ME178398

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

655 W 8TH ST, Jacksonville, FL 32209

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khaled Sabry Mohamed Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901388255

PECOS Enrollment IDI20260305001143

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.

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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

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.

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.

DR. MATTHEW DUWAIN WARRICK M.D.

Anesthesiology