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, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rawad Raid Radaa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rawad Radaa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32224
- Reassigned Medicare billing, Florida enrollment
- 1,828 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Rawad Radaa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rawad Radaa reassigns Medicare benefits to Mayo Clinic Jacksonville (Jacksonville, FL). The 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 Rawad Radaa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 5 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
- **Bills Medicare through:** Mayo Clinic Jacksonville (NPI 1174143986, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **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.