RAWAD RAID RADAA MD
NPI 1124720735
Internal Medicine - Nephrology in Jacksonville, FL
About Rawad Raid Radaa Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAWAD RAID RADAA MD (NPI 1124720735) is an individual nephrology provider in Jacksonville, Florida, licensed in Florida (ME180703) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rawad Raid Radaa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Eastern Idaho Regional Medical Center
Acute Care Hospitals · Idaho Falls, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
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 Rawad Radaa's NPI number?
The NPI number for Rawad Radaa is 1124720735. It was assigned to this individual provider in the NPPES registry on March 20, 2023.
Where is Rawad Radaa located?
Rawad Radaa practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Rawad Radaa's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Rawad Radaa enrolled in Medicare?
Yes. Rawad Radaa is registered in the Medicare PECOS enrollment system.
Is Rawad Radaa affiliated with any hospitals?
According to CMS data, Rawad Radaa is affiliated with Eastern Idaho Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Rawad Radaa 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 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.
# Rawad Raid Radaa, MD · NPI 1124720735
Nephrology physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since March 20, 2023.
## Identity
- **NPI:** 1124720735 (Entity type: Individual)
- **Enumerated:** March 20, 2023
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** ME180703 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224-1865
- **Phone:** (904) 953-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124720735) · Data from the CMS NPPES public registry.