Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RAHOTEP ANNU ALKEBULAN MD, MPH
NPI 1407430556
Family Medicine in Jacksonville, FL

Q: What is Rahotep Alkebulan's NPI number?

The NPI number for Rahotep Alkebulan is 1407430556. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Q: What is Rahotep Alkebulan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rahotep Alkebulan was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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 May 05, 2021PECOS EnrolledAccepts Medicare Assignment

524 SKYMARKS DR STE 1, JACKSONVILLE, FL 32218(904) 696-7333(904) 390-7441 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2026, Jul 31, 2024, May 5, 2021 (3 updates tracked since 2021).

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About Dr. Rahotep Annu Alkebulan Md, Mph NPPES

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

DR. RAHOTEP ANNU ALKEBULAN MD, MPH (NPI 1407430556) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME168914) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Wayne State University School Of Medicine (2021).

NPPES Registry Identity

NPI1407430556

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RAHOTEP ANNU ALKEBULANCredential: MD, MPH

Location Address524 SKYMARKS DR STE 1Jacksonville, FL 32218-7220

Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075

Phone(904) 696-7333

Fax(904) 390-7441

Sole ProprietorYes

Medical School CMSWayne State University School Of MedicineGraduated 2021

Enumeration DateMay 5, 2021

Last NPPES UpdateAugust 14, 20263 updates tracked since enumeration

NPPES CertifiedAugust 14, 2026

✔ NPI 1407430556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · ME168914✔ Licensed in AZ · R78552

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.

524 SKYMARKS DR STE 1, Jacksonville, FL 32218

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Other Identifiers 2

Medicaid123400900FL

Medicaid5206948888AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. Rahotep Annu Alkebulan Md, Mph 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 ID5597174987

PECOS Enrollment IDI20240813001980

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 2

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.

31 services31 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services28 patients

Hospital Affiliations CMS Care Compare 2

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

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

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100140

Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32218 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ENIYE L ODIGIE M.D.

Family Medicine

524 SKYMARKS DR STE 1
JACKSONVILLE, FL 32218

Duval County (904) 696-7333

ALMOND ROVEN R TOLEDO D.O.

Family Medicine

524 SKYMARKS DR STE 1
JACKSONVILLE, FL 32218

Duval County (904) 696-7333

KATHERINE D TOWNSEL MD

Family Medicine

524 SKYMARKS DR STE 1
JACKSONVILLE, FL 32218

Duval County (904) 696-7333

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 Rahotep Alkebulan's NPI number?

The NPI number for Rahotep Alkebulan is 1407430556. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Rahotep Alkebulan located?

Rahotep Alkebulan practices at 524 Skymarks Dr Ste 1, Jacksonville, FL 32218. The listed phone number is (904) 696-7333.

What is Rahotep Alkebulan's specialty?

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

Is Rahotep Alkebulan enrolled in Medicare?

Yes. Rahotep Alkebulan 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 Rahotep Alkebulan accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Rahotep Alkebulan 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 Rahotep Alkebulan affiliated with any hospitals?

According to CMS data, Rahotep Alkebulan is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center - Nassau.

When was this NPI record last updated?

The NPPES record for Rahotep Alkebulan was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.