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DR. MORTEZA GHOLI YAVARI MD
NPI 1568452126
Specialist in Jacksonville, FL

Active since October 25, 2005PECOS Enrolled
3550 UNIVERSITY BLVD S, SUITE 202, JACKSONVILLE, FL 32216(904) 730-2553(904) 730-2554 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Morteza Gholi Yavari Md NPPES

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

DR. MORTEZA GHOLI YAVARI MD (NPI 1568452126) is an individual specialist in Jacksonville, Florida, licensed in Florida (ME0034227) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568452126
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MORTEZA GHOLI YAVARICredential: MD
Location Address3550 UNIVERSITY BLVD S, SUITE 202Jacksonville, FL 32216-4246
Mailing Address3550 University Blvd S, Suite 202Jacksonville, FL 32216-4246 · (904) 730-2553 · Fax (904) 730-2554
Phone(904) 730-2553
Fax(904) 730-2554
Sole ProprietorNo
Enumeration DateOctober 25, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1568452126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0034227
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3550 UNIVERSITY BLVD S, Jacksonville, FL 32216
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Morteza Gholi Yavari Md 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.

Medicare Billing Reassignment

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

Florida Physician Specialists LLC
0.4 mi
Urology
6269 BEACH BLVD, SUITE 2
Jacksonville, FL 32216
  • Reassigned Medicare billing, Florida enrollment
  • 44 clinicians in this Medicare group
NPI 1083959563 (904) 727-7955

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

Other Providers at the Same Location NPPES 16

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

DR. EDWARD S PEREIRA MD
Internal Medicine (Cardiovascular Disease)
3550 UNIVERSITY BLVD S, SUITE 302
JACKSONVILLE, FL 32216
Duval County (904) 733-4444
DRS BAKER & GILMOUR MD PA
Internal Medicine (Cardiovascular Disease)
3550 UNIVERSITY BLVD S, SUITE 302
JACKSONVILLE, FL 32216
Duval County (904) 733-4444
DR. C. TED MONTGOMERY M.D.
Specialist
3550 UNIVERSITY BLVD S, STE 301
JACKSONVILLE, FL 32216
Duval County (904) 384-2240
JOHNNY JADA MD
Pediatrics
3550 UNIVERSITY BLVD S, STE 206
JACKSONVILLE, FL 32216
Duval County (904) 737-5600
DR. JOHNNY N JADA MD
Pediatrics
3550 UNIVERSITY BLVD S, STE 206
JACKSONVILLE, FL 32216
Duval County (904) 723-0015
DR. MOUSA R BATEH D.P.M.
Podiatrist (Primary Podiatric Medicine)
3550 UNIVERSITY BLVD S, STE 204
JACKSONVILLE, FL 32216
Duval County (904) 384-2240
DR. TREVOR O GREENE MD
Internal Medicine (Cardiovascular Disease)
3550 UNIVERSITY BLVD S, STE 203
JACKSONVILLE, FL 32216
Duval County (904) 733-4444
MRS. MELLISSA SETTLES ARNP
Nurse Practitioner (Pediatrics)
3550 UNIVERSITY BLVD S, SUITE 206
JACKSONVILLE, FL 32216
Duval County (904) 737-5600

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 Morteza Yavari's NPI number?

The NPI number for Morteza Yavari is 1568452126. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Morteza Yavari located?

Morteza Yavari practices at 3550 University Blvd S Suite 202, Jacksonville, FL 32216. The listed phone number is (904) 730-2553.

What is Morteza Yavari's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Morteza Yavari enrolled in Medicare?

Yes. Morteza Yavari is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Morteza Yavari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Morteza Yavari reassigns Medicare benefits to Florida Physician Specialists LLC (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 Morteza Yavari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Morteza Yavari was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.