KASRAEIAN UROLOGY
NPI 1083959563
Urology in Jacksonville, FL

Active since December 10, 2012
6269 BEACH BLVD, SUITE 2, JACKSONVILLE, FL 32216(904) 727-7955(904) 727-7976 Get Directions Write a Review

NPPES record last updated: December 10, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kasraeian Urology NPPES

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

KASRAEIAN UROLOGY (NPI 1083959563) is a healthcare organization registered as an urology in Jacksonville, Florida and active in the NPI registry since December 2012. The organization lists Ahmad Kasraeian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083959563
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameFLORIDA PHYSICIAN SPECIALISTS LLC
Location Address6269 BEACH BLVD, SUITE 2Jacksonville, FL 32216-2768
Mailing Address6269 Beach Blvd, Suite 2Jacksonville, FL 32216-2768 · (904) 727-7955 · Fax (904) 727-7976
Fax(904) 727-7976
Organization SubpartNo
Authorized OfficialAhmad KasraeianCeo · (904) 727-7955
Enumeration DateDecember 10, 2012
✔ NPI 1083959563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
6269 BEACH BLVD, Jacksonville, FL 32216

Other Names 1

Doing Business AsKasraeian Urology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

44

Medicare enrollment records show 44 clinicians reassign Medicare billing to Kasraeian Urology, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Urology27
Nurse Practitioner9
Pathology4
Radiation Oncology2
Diagnostic Radiology1
Nuclear Medicine1

Nearest to this location (20)

See all 44
Urology
NPI 1659374320
6269 BEACH BLVD STE 2
Jacksonville, FL 32216
(904) 727-7955
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1336213271
6269 BEACH BLVD SUITE 2
Jacksonville, FL 32216
(904) 727-7955
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1427075399
3599 UNIVERSITY BLVD S SUITE 905
Jacksonville, FL 32216
(904) 355-6583
✔ PECOS0.2 mi
Diagnostic Radiology
NPI 1972701001
3599 UNIVERSITY BLVD. S. BLDG. 300
Jacksonville, FL 32216
(904) 399-5550
✔ PECOS✔ Accepts Medicare0.3 mi
Urology
NPI 1568452126
3550 UNIVERSITY BLVD S SUITE 202
Jacksonville, FL 32216
(904) 730-2553
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1104397793
3625 UNIVERSITY BLVD S
Jacksonville, FL 32216
(904) 861-5111
✔ PECOS✔ Accepts Medicare0.5 mi
Pathology
NPI 1508824228
800 PRUDENTIAL DR
Jacksonville, FL 32207
(904) 202-1347
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1023699311
425 N LEE ST
Jacksonville, FL 32204
(904) 427-1200
✔ PECOS✔ Accepts Medicare5.1 mi
Urology
NPI 1083752000
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS✔ Accepts Medicare5.2 mi
Urology
NPI 1316088107
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS5.2 mi
Urology
NPI 1245371095
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS✔ Accepts Medicare5.2 mi
Urology
NPI 1770604548
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS✔ Accepts Medicare5.2 mi
Urology
NPI 1144361908
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS✔ Accepts Medicare5.2 mi
Urology
NPI 1588705354
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS✔ Accepts Medicare5.2 mi
Urology
NPI 1477915775
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS✔ Accepts Medicare5.2 mi
Nurse Practitioner
NPI 1528885704
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS✔ Accepts Medicare5.2 mi
Nurse Practitioner
NPI 1730071978
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS✔ Accepts Medicare5.2 mi
Radiation Oncology
NPI 1366409021
710 LOMAX ST SUITE 1
Jacksonville, FL 32204
(904) 483-2310
✔ PECOS✔ Accepts Medicare5.2 mi
Nurse Practitioner
NPI 1265027817
4266 SUNBEAM RD
Jacksonville, FL 32257
(904) 407-7700
✔ PECOS✔ Accepts Medicare6.1 mi
Urology
NPI 1841586120
2080 CHILD ST DEPT 5000
Jacksonville, FL 32214
(904) 542-7488
✔ PECOS✔ Accepts Medicare9.7 mi
See all 44 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2156418

Florida Physician Specialists · Jacksonville, FL
Expired · Oct 16, 2026
CLIA Number10D2156418
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorChristopher S. West
Laboratory Phone(904) 355-6583
Laboratory LocationFlorida Physician Specialists8774 Perimeter Park Blvd, Jacksonville, FL 32216
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Florida Physician Specialists LLC's NPI number?

The NPI number for Florida Physician Specialists LLC is 1083959563. It was assigned to this organization in the NPPES registry on December 10, 2012. The provider is doing business as Kasraeian Urology.

Where is Florida Physician Specialists LLC located?

Florida Physician Specialists LLC is located at 6269 Beach Blvd Suite 2, Jacksonville, FL 32216. The listed phone number is (904) 727-7955.

What is Florida Physician Specialists LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Florida Physician Specialists LLC enrolled in Medicare?

Yes. Florida Physician Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Florida Physician Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 6 Medicare specialties reassign their Medicare billing to Florida Physician Specialists LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Urology (27), Nurse Practitioner (9) and Pathology (4). Of these, 2 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Florida Physician Specialists LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Florida Physician Specialists LLC 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.

When was this NPI record last updated?

The NPPES record for Florida Physician Specialists LLC was last updated on December 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.