DR. MUBARAK N ABDUR-RAHMAN MD
NPI 1164861001
Emergency Medicine in Jacksonville, FL

Q: What is Mubarak Abdur-rahman's NPI number?

The NPI number for Mubarak Abdur-rahman is 1164861001. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Q: What is Mubarak Abdur-rahman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since June 24, 2013PECOS Enrolled

655 W 8TH ST, 4TH FLOOR BOX BC 506, JACKSONVILLE, FL 32209(904) 244-3140 Get Directions Write a Review

NPPES record last updated: March 28, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Mubarak N Abdur-rahman Md NPPES

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

DR. MUBARAK N ABDUR-RAHMAN MD (NPI 1164861001) is an individual emergency medicine provider in Jacksonville, Florida, licensed in Florida (ME0120567) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164861001

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. MUBARAK N ABDUR-RAHMANCredential: MD

Location Address655 W 8TH ST, 4TH FLOOR BOX BC 506Jacksonville, FL 32209-6511

Mailing Address655 W 8th St, 4th Floor Box Bc 506Jacksonville, FL 32209-6511

Phone(904) 244-3140

Sole ProprietorNo

Enumeration DateJune 24, 2013

Last NPPES UpdateMarch 28, 2017

✔ NPI 1164861001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in FL · ME0120567

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License ME0120567 (FL)

655 W 8TH ST, Jacksonville, FL 32209

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mubarak N Abdur-rahman 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.

Medicare Billing Reassignments

Medicare enrollment records show Mubarak Abdur-rahman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Florida Jacksonville Physicians Inc

Same address

Pulmonary Disease

655 W 8TH ST, UFJP PULMONARY
Jacksonville, FL 32209

Reassigned Medicare billing, Florida enrollment
Also billed through NPI 1326208695 (Florida)
1,456 clinicians in this Medicare group

NPI 1104086479 (904) 244-3660

Emergency Physicians Inc

2.3 mi

Emergency Medicine

800 PRUDENTIAL DR
Jacksonville, FL 32207

Reassigned Medicare billing, Florida enrollment
428 clinicians in this Medicare group

NPI 1285686675 (904) 396-5682

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

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

$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.

DR. MATTHEW DUWAIN WARRICK M.D.

Anesthesiology