1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Family Medicine
  6. NPI Profile

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

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: October 18, 2026.

Record update history: Aug 14, 2026, Jul 31, 2024, May 5, 2021 (3 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 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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Baptist Primary Care Inc
3.6 mi
Family Medicine
12341 YELLOW BLUFF RD
Jacksonville, FL 32226
  • Reassigned Medicare billing, Florida enrollment
  • 569 clinicians in this Medicare group
NPI 1689908444 (904) 757-8308

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Rahotep Alkebulan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rahotep Alkebulan reassigns Medicare benefits to Baptist Primary Care 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 Rahotep Alkebulan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 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.