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

Active since May 05, 2021PECOS EnrolledAccepts Medicare Assignment
810 LANE AVE S, JACKSONVILLE, FL 32205(904) 783-9680(904) 390-7464 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 31, 2024, May 5, 2021 (2 updates tracked since 2021).

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 Address810 LANE AVE SJacksonville, FL 32205-4785
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 783-9680
Fax(904) 390-7464
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2021
Enumeration DateMay 5, 2021
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ 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.
810 LANE AVE S, Jacksonville, FL 32205
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Other Identifiers 1

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 32205 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 12

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

GREGORY J MCHUGH MD
Family Medicine
810 LANE AVE S
JACKSONVILLE, FL 32205
Duval County (904) 783-9680
DR. JAMES W CLOWER III MD
Family Medicine
810 LANE AVE S, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32205
Duval County (904) 783-9680
DR. MATTHEW TODD BRADDOCK D.O.
Family Medicine
810 LANE AVE S
JACKSONVILLE, FL 32205
Duval County (904) 783-9680
WILLIAM S LAX PA
Physician Assistant
810 LANE AVE S
JACKSONVILLE, FL 32205
Duval County (904) 783-9680
PAMELA CARRINGTON-COOPER MD
Pediatrics
810 LANE AVE S
JACKSONVILLE, FL 32205
Duval County (904) 783-9680
DAWN M JOHNSON
Pharmacist
810 LANE AVE S
JACKSONVILLE, FL 32205
Duval County (904) 693-2389
BAPTIST PRIMARY CARE INC
Family Medicine
810 LANE AVE S
JACKSONVILLE, FL 32205
Duval County (904) 783-9680
JEANETTE TORRES MD
Family Medicine
810 LANE AVE S
JACKSONVILLE, FL 32205
Duval County (904) 783-9680

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 810 Lane Ave S, Jacksonville, FL 32205. The listed phone number is (904) 783-9680.

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 July 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.