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RANA ALISSA M.D.
NPI 1356669063
Pediatrics in Jacksonville, FL

Active since May 06, 2010PECOS Enrolled
820 PRUDENTIAL DR, HOWARD BLDG, SUITE 614, JACKSONVILLE, FL 32207(904) 202-4212(904) 202-4219 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rana Alissa M.d. NPPES

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

RANA ALISSA M.D. (NPI 1356669063) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME116456) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356669063
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameRANA ALISSACredential: M.D.
Location Address820 PRUDENTIAL DR, HOWARD BLDG, SUITE 614Jacksonville, FL 32207-8210
Mailing Address820 Prudential Dr, Howard Bldg, Suite 614Jacksonville, FL 32207-8210 · (904) 202-4212 · Fax (904) 202-4219
Phone(904) 202-4212
Fax(904) 202-4219
Sole ProprietorNo
Enumeration DateMay 6, 2010
Last NPPES UpdateDecember 5, 2013
✔ NPI 1356669063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME116456✔ Licensed in FL · TRN14670
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.
820 PRUDENTIAL DR, Jacksonville, FL 32207
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Other Identifiers 4

Medicaid009409900FL
Other14RF1FL · Bcbs
Medicaid003137176AGA
Medicare PINHN215ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rana Alissa M.d. 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 Reassignment

Medicare enrollment records show Rana Alissa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Florida Jacksonville Physicians Inc
2.1 mi
Neurological Surgery
580 W 8TH ST, UFJP NEUROSURGERY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1225298599 (904) 244-3660

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 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.

DR. MOHAMAD ALASAD TOLAYMAT M.D.
Pediatrics (Pediatric Nephrology)
820 PRUDENTIAL DR, UFJP PEDIATRIC MULTI-SPECIALTY CLINIC
JACKSONVILLE, FL 32207
Duval County (904) 633-0920
SARAH VICTORIA BRINKLEY RN
Registered Nurse
820 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (814) 591-8074
DR. RYAN BENJAMIN BRENES D.O.
Family Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Duval County (306) 619-5517
M. ELIZABETH B PERRY M.D.
Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Duval County (904) 398-3356
ERIN BECKETT ARNP
Nurse Practitioner (Neonatal)
820 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (575) 491-4958
PETER J CLAGNAZ MD
Psychiatry & Neurology (Psychiatry)
820 PRUDENTIAL DR, SUITE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
DR. FRANCISCO JAVIER GUTIERREZ D.O.
Emergency Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
JANICE RIDDELL ABDELNOUR R.D, C.D.E.
Dietitian, Registered
820 PRUDENTIAL DR, SUITE 416
JACKSONVILLE, FL 32207
Duval County (904) 202-2140

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 Rana Alissa's NPI number?

The NPI number for Rana Alissa is 1356669063. It was assigned to this individual provider in the NPPES registry on May 6, 2010.

Where is Rana Alissa located?

Rana Alissa practices at 820 Prudential Dr Howard Bldg, Suite 614, Jacksonville, FL 32207. The listed phone number is (904) 202-4212.

What is Rana Alissa's specialty?

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

Is Rana Alissa enrolled in Medicare?

Yes. Rana Alissa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rana Alissa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rana Alissa reassigns Medicare benefits to University Of Florida Jacksonville Physicians Inc (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 Rana Alissa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rana Alissa accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Rana Alissa 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.

When was this NPI record last updated?

The NPPES record for Rana Alissa was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.