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DR. MOHAMMAD KHALDOUN ABOUDAN MD
NPI 1144419466
Pediatrics in Jacksonville, FL

Active since October 23, 2007PECOS Enrolled
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 396-5682(904) 346-0864 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mohammad Khaldoun Aboudan Md NPPES

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

DR. MOHAMMAD KHALDOUN ABOUDAN MD (NPI 1144419466) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME45711) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144419466
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MOHAMMAD KHALDOUN ABOUDANCredential: MD
Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8202
Mailing Address820 Prudential Dr Ste 713Jacksonville, FL 32207-8209 · (904) 396-5682 · Fax (904) 346-0864
Phone(904) 396-5682
Fax(904) 346-0864
Sole ProprietorNo
Enumeration DateOctober 23, 2007
Last NPPES UpdateJune 20, 2008
✔ NPI 1144419466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME45711
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
800 PRUDENTIAL DR, Jacksonville, FL 32207
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Other Names 1

Other Name (5)Dr. Khal Aboudan Md

Other Identifiers 5

Medicare UPINE12128FL
Medicaid0447145-00FL
Other02583FL · Bcbs Of Florida
Medicaid00687475AGA
Medicare PIN02583AFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mohammad Khaldoun Aboudan Md 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 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
$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
$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.

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.

ERIN M SCHOLZ MS CCC-SLP
Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
TERRI TURNER TOMLINSON MSC CC-SLP
Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
MICHELLE SENIA ANTONIO PT
Physical Therapist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
ELIZABETH ANN POSTUPACK NURSE PRACTITIONER
Nurse Practitioner (Neonatal)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 244-4242
ALYSSA KAY MOULDS CAA
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
JAMEY MEDDERS CAA
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
DR. DAVID ANDREW HOLLOMAN MD
Pathology (Anatomic Pathology & Clinical Pathology)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (843) 323-8883
MR. BRADLEY JAMES WINE RN
Registered Nurse (Medical-Surgical)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000

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 Mohammad Aboudan's NPI number?

The NPI number for Mohammad Aboudan is 1144419466. It was assigned to this individual provider in the NPPES registry on October 23, 2007. The provider is also known as Dr. Khal Aboudan MD.

Where is Mohammad Aboudan located?

Mohammad Aboudan practices at 800 Prudential Dr, Jacksonville, FL 32207. The listed phone number is (904) 396-5682.

What is Mohammad Aboudan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mohammad Aboudan enrolled in Medicare?

Yes. Mohammad Aboudan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohammad Aboudan was last updated on June 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.