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DR. ABDOLREZA MOHAMMADIAN M.D
NPI 1386801116
Family Medicine in Jacksonville, FL

Active since May 20, 2008PECOS Enrolled
1536 N.JEFFERSON STREET, VA OUTPATIENT CLINIC, JACKSONVILLE, FL 32209(904) 475-5800(904) 301-2502 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Abdolreza Mohammadian M.d NPPES

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

DR. ABDOLREZA MOHAMMADIAN M.D (NPI 1386801116) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME102692) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386801116
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ABDOLREZA MOHAMMADIANCredential: M.D
Location Address1536 N.JEFFERSON STREET, VA OUTPATIENT CLINICJacksonville, FL 32209-0000
Mailing Address1536 North Jefferson Street, Va Outpatient ClinicJacksonville, FL 32209 · (904) 475-5800 · Fax (904) 301-2502
Phone(904) 475-5800
Fax(904) 301-2502
Sole ProprietorYes
Enumeration DateMay 20, 2008
Last NPPES UpdateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
✔ NPI 1386801116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME102692
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1536 N.JEFFERSON STREET, Jacksonville, FL 32209
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Other Identifiers 1

Other1386801116FL · Family Practice And Geriatric Medicine

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. Abdolreza Mohammadian 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.

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.

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 Abdolreza Mohammadian's NPI number?

The NPI number for Abdolreza Mohammadian is 1386801116. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Abdolreza Mohammadian located?

Abdolreza Mohammadian practices at 1536 N.Jefferson Street VA Outpatient Clinic, Jacksonville, FL 32209. The listed phone number is (904) 475-5800.

What is Abdolreza Mohammadian's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Abdolreza Mohammadian enrolled in Medicare?

Yes. Abdolreza Mohammadian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abdolreza Mohammadian was last updated on September 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.