Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PAYAM MOHAMMADINEJAD
NPI 1083290712
Radiology - Diagnostic Radiology in Jacksonville, FL

Q: What is Payam Mohammadinejad's NPI number?

The NPI number for Payam Mohammadinejad is 1083290712. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Q: What is Payam Mohammadinejad's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since March 23, 2021PECOS Enrolled

855 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-4225 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Payam Mohammadinejad NPPES

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

PAYAM MOHAMMADINEJAD (NPI 1083290712) is an individual diagnostic radiology provider in Jacksonville, Florida, licensed in Texas (BP10079529) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083290712

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NamePAYAM MOHAMMADINEJAD

Location Address855 W 8TH STJacksonville, FL 32209

Mailing AddressUniversity Of Texas Medical Branch 301 University BlvdGalveston, TX 77555-0709 · (409) 747-2849 · Fax (409) 772-7120

Phone(904) 244-4225

Sole ProprietorNo

Enumeration DateMarch 23, 2021

Last NPPES UpdateJune 18, 2026

NPPES CertifiedJune 18, 2026

✔ NPI 1083290712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in TX · BP10079529

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

855 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)

Payam Mohammadinejad is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

$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

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 5

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

MISS KATHERINE ZHEVELEVA PHARMD

Pharmacist (Ambulatory Care)