DR. ALI AHMAD RAWABDEH MD
NPI 1205115599
Internal Medicine in Jacksonville, FL

Q: What is Ali Rawabdeh's NPI number?

The NPI number for Ali Rawabdeh is 1205115599. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Q: What is Ali Rawabdeh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ali Rawabdeh was last updated on November 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 04, 2011PECOS EnrolledAccepts Medicare Assignment

3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 702-6111 Get Directions Write a Review

NPPES record last updated: November 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Ali Ahmad Rawabdeh Md NPPES

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

DR. ALI AHMAD RAWABDEH MD (NPI 1205115599) is an individual internal medicine provider in Jacksonville, Florida, licensed in Florida (ME130107) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and maintains a secondary practice location in Morristown.

NPPES Registry Identity

NPI1205115599

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ALI AHMAD RAWABDEHCredential: MD

Location Address3625 UNIVERSITY BLVD SJacksonville, FL 32216

Mailing Address13054 Aegean DrJacksonville, FL 32246-5552 · (862) 242-9219

Phone(904) 702-6111

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 4, 2011

Last NPPES UpdateNovember 11, 2019

✔ NPI 1205115599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME130107

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3625 UNIVERSITY BLVD S, Jacksonville, FL 32216

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Secondary Practice Location 1

Location 1100 Franklin St, APT A210Morristown, NJ 07960-5443 · Phone (862) 242-9219

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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. Ali Ahmad Rawabdeh Md 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 ID244482008

PECOS Enrollment IDI20171103001900

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

91 services40 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

21 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services15 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100040

Location1 Shircliff WayJacksonville, FL 32204 · Duval County

Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100179

Location3625 University Blvd SJacksonville, FL 32216 · Duval County

Emergency services Birthing friendly

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100307

Location4201 Belfort RdJacksonville, FL 32216 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%126 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers19 claims19 services$13.65 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers19 claims19 services$63.88 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LINDSAY MICHELLE PUTKOWSKI CRNA

Nurse Anesthetist, Certified Registered

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6111

KENNETH AUNG-DIN MD

Emergency Medicine

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 399-6811

MRS. GLORIANNE BOYD RD,LD/N

Dietitian, Registered

3625 UNIVERSITY BLVD S, BARIATRIC DEPARTMENT
JACKSONVILLE, FL 32216

Duval County (904) 399-6313

PETER LOUIS KOVACS MD

Anesthesiology

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 421-2119

NAKISH DANIELLE GRANT M.D.

General Practice

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6111

SUMMIT EMERGENCY PHYSICIANS, LLC

Emergency Medicine

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (469) 401-2386

KELLY MICHELLE DEWIT PHARMD

Pharmacist

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6160

DR. JUDY BOWERS M.D.

Obstetrics & Gynecology

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6850

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 Ali Rawabdeh's NPI number?

The NPI number for Ali Rawabdeh is 1205115599. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Ali Rawabdeh located?

Ali Rawabdeh practices at 3625 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 702-6111.

What is Ali Rawabdeh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ali Rawabdeh enrolled in Medicare?

Yes. Ali Rawabdeh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ali Rawabdeh accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ali Rawabdeh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ali Rawabdeh affiliated with any hospitals?

According to CMS data, Ali Rawabdeh is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville, Hca Florida Memorial Hospital and Ascension St Vincent's Southside.

When was this NPI record last updated?

The NPPES record for Ali Rawabdeh was last updated on November 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.