JABRIL ABDULLAH
NPI 1497619175
Contractor in Jacksonville, FL

Active since December 16, 2025PECOS Enrolled
1274 STATE ST W, JACKSONVILLE, FL 32204(904) 537-2287 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jabril Abdullah NPPES

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

JABRIL ABDULLAH (NPI 1497619175) is an individual contractor provider in Jacksonville, Florida and active in the NPI registry since December 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1497619175
Entity TypeIndividual
Primary Taxonomy171W00000X
Provider Legal NameJABRIL ABDULLAH
Location Address1274 STATE ST WJacksonville, FL 32204-1046
Mailing Address129 Boyd StFolkston, GA 31537-4937
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
NPI 1497619175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
1274 STATE ST W, Jacksonville, FL 32204

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jabril Abdullah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880175991
PECOS Enrollment IDI20260226002603
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.

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 Jabril Abdullah's NPI number?

The NPI number for Jabril Abdullah is 1497619175. It was assigned to this individual provider in the NPPES registry on December 16, 2025.

Where is Jabril Abdullah located?

Jabril Abdullah practices at 1274 State St W, Jacksonville, FL 32204. The listed phone number is (904) 537-2287.

What is Jabril Abdullah's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

Is Jabril Abdullah enrolled in Medicare?

Yes. Jabril Abdullah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jabril Abdullah was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.