DR. MOHAMED OMAR RADWAN M.D.
NPI 1063746873
Internal Medicine - Pulmonary Disease in Jacksonville, FL

Active since September 25, 2009PECOS EnrolledAccepts Medicare Assignment
1325 SAN MARCO BLVD, REID BUILDING, STE 300, JACKSONVILLE, FL 32207(904) 253-6910(904) 253-6964 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mohamed Omar Radwan M.d. NPPES

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

DR. MOHAMED OMAR RADWAN M.D. (NPI 1063746873) is an individual pulmonary disease provider in Jacksonville, Florida, licensed in Florida (ME110119) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1063746873
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MOHAMED OMAR RADWANCredential: M.D.
Location Address1325 SAN MARCO BLVD, REID BUILDING, STE 300Jacksonville, FL 32207-8568
Mailing Address1325 San Marco Blvd, Reid Building, Ste 300Jacksonville, FL 32207-8568 · (904) 253-6910 · Fax (904) 253-6964
Fax(904) 253-6964
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 25, 2009
Last NPPES UpdateApril 11, 2017
NPI 1063746873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in FL · ME110119
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME110119 (FL)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME110119 (FL)
1325 SAN MARCO BLVD, Jacksonville, FL 32207

Other Identifiers 7

Other348958FL · Avmed
Other14H00FL · Bcbs
OtherP01364661FL · Medicare Railroad
Medicaid003911100FL
Medicare PINFH540XFL
Other936658FL · Aetna
Other59-3385828FL · Tax Id For Other Insurances

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. Mohamed Omar Radwan M.d. 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 ID1355527201
PECOS Enrollment IDI20180627000537
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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
229 services108 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
114 services70 patients
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.
66 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
58 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers20 claims20 services$41.15 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers16 claims16 services$13.38 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers23 claims23 services$8.48 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers22 claims132 services$1.57 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
5 suppliers15 claims15 services$11.25 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$777.59 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.

Physical Therapist
1325 SAN MARCO BLVD, SUITE 102
JACKSONVILLE, FL 32207
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, SUITE 102
JACKSONVILLE, FL 32207
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, SUITE 102
JACKSONVILLE, FL 32207
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, #102
JACKSONVILLE, FL 32207
Nurse Practitioner (Family)
1325 SAN MARCO BLVD, REID BUILDING SUITE 300
JACKSONVILLE, FL 32207
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, SUITE 102
JACKSONVILLE, FL 32207
Physician Assistant
1325 SAN MARCO BLVD, SUITE 200
JACKSONVILLE, FL 32207
Specialist/Technologist (Athletic Trainer)
1325 SAN MARCO BLVD, #700
JACKSONVILLE, FL 32207

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 Mohamed Radwan's NPI number?

The NPI number for Mohamed Radwan is 1063746873. It was assigned to this individual provider in the NPPES registry on September 25, 2009.

Where is Mohamed Radwan located?

Mohamed Radwan practices at 1325 San Marco Blvd Reid Building, Ste 300, Jacksonville, FL 32207. The listed phone number is (904) 253-6910.

What is Mohamed Radwan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mohamed Radwan enrolled in Medicare?

Yes. Mohamed Radwan 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.

When was this NPI record last updated?

The NPPES record for Mohamed Radwan was last updated on April 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.