DR. IMTIAZ RASUL M.D.
NPI 1205071719
Psychiatry & Neurology - Psychiatry in Jacksonville, FL

Q: What is Imtiaz Rasul's NPI number?

The NPI number for Imtiaz Rasul is 1205071719. It was assigned to this individual provider in the NPPES registry on December 12, 2008.

Q: What is Imtiaz Rasul's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Imtiaz Rasul was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since December 12, 2008PECOS EnrolledAccepts Medicare Assignment

10175 FORTUNE PKWY, SUITE 206, JACKSONVILLE, FL 32256(904) 379-8748(904) 379-8796 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2025, Sep 11, 2025 (2 updates tracked since 2025).

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About Dr. Imtiaz Rasul M.d. NPPES

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

DR. IMTIAZ RASUL M.D. (NPI 1205071719) is an individual psychiatry provider in Jacksonville, Florida, licensed in Florida (ME-112178) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1205071719

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. IMTIAZ RASULCredential: M.D.

Location Address10175 FORTUNE PKWY, SUITE 206Jacksonville, FL 32256-6746

Mailing Address10175 Fortune Pkwy Unit 206Jacksonville, FL 32256-6748 · (904) 379-8748 · Fax (904) 379-8796

Phone(904) 379-8748

Fax(904) 379-8796

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateDecember 12, 2008

Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration

NPPES CertifiedOctober 10, 2025

✔ NPI 1205071719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in FL · ME-112178

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

10175 FORTUNE PKWY, Jacksonville, FL 32256

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Imtiaz Rasul M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385775584

PECOS Enrollment IDI20130111000326

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

379 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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.

ASHLEY JENKINS MSW, RCSWI, CPT

Technician, Pathology (Phlebotomy)

10175 FORTUNE PKWY, STE 1003 PMB-1008
JACKSONVILLE, FL 32256

Duval County (850) 556-5646

XIAOLU LUO A. P., D.O.M

Acupuncturist

10175 FORTUNE PKWY, UNIT 304
JACKSONVILLE, FL 32256

Duval County (904) 880-1889

LODS VOLCY QASP

Behavior Analyst