JARAAD DATTADEEN MD
NPI 1679070593
Internal Medicine - Critical Care Medicine in Jacksonville, FL

Q: What is Jaraad Dattadeen's NPI number?

The NPI number for Jaraad Dattadeen is 1679070593. It was assigned to this individual provider in the NPPES registry on April 7, 2018.

Q: What is Jaraad Dattadeen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Jaraad Dattadeen was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 April 07, 2018PECOS EnrolledAccepts Medicare Assignment

655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-4075 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 7, 2024, Mar 27, 2023, Feb 24, 2021 (3 updates tracked since 2021).

On this page

About Jaraad Dattadeen Md NPPES

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

JARAAD DATTADEEN MD (NPI 1679070593) is an individual critical care medicine provider in Jacksonville, Florida, licensed in Florida (ME150629) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1679070593

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameJARAAD DATTADEENCredential: MD

Location Address655 W 8TH STJacksonville, FL 32209-6511

Mailing AddressPo Box 44008Jacksonville, FL 32231-4008 · (904) 244-4075

Phone(904) 244-4075

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 7, 2018

Last NPPES UpdateJune 7, 20243 updates tracked since enumeration

NPPES CertifiedJune 7, 2024

✔ NPI 1679070593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in FL · ME150629

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

655 W 8TH ST, Jacksonville, FL 32209

Open in Google Maps ↗

Secondary Practice Location 1

Location 117 Davis Blvd Ste 308Tampa, FL 33606-3438 · Phone (813) 974-2201

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Jaraad Dattadeen Md 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 ID5496092421

PECOS Enrollment IDI20240703002237

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

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

79 services27 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100001

Location655 W 8th StJacksonville, FL 32209 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

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 20

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

DR. MATTHEW DUWAIN WARRICK M.D.

Anesthesiology