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DR. PEGAH GHAFOURIAN M.D.
NPI 1700113669
Internal Medicine in Jacksonville, FL

Active since November 12, 2009PECOS Enrolled
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209(904) 470-6900 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2022, Sep 12, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Pegah Ghafourian M.d. NPPES

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

DR. PEGAH GHAFOURIAN M.D. (NPI 1700113669) is an individual internal medicine provider in Jacksonville, Florida, licensed in Florida (ME133950) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1700113669
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PEGAH GHAFOURIANCredential: M.D.
Location Address1536 N JEFFERSON STJacksonville, FL 32209-6525
Mailing Address1536 N Jefferson StJacksonville, FL 32209-6525 · (904) 470-6900
Phone(904) 470-6900
Sole ProprietorNo
Enumeration DateNovember 12, 2009
Last NPPES UpdateSeptember 6, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
✔ NPI 1700113669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME133950✔ Licensed in GA · 077370✔ Licensed in NC · 2016-00212✔ Licensed in SC · LL35885
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 2016-00212 (NC), 077370 (GA)
1536 N JEFFERSON ST, Jacksonville, FL 32209
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Secondary Practice Locations 3

Location 13333 Silas Creek PkwyWinston Salem, NC 27103-3013 · Phone (336) 718-7080 · Fax (336) 718-9622
Location 22021 Professional Center DrOrange Park, FL 32073 · Phone (904) 688-3000 · Fax (904) 688-3001
Location 34700 Waters AveSavannah, GA 31404-6220 · Phone (912) 350-1316 · Fax (912) 350-2156

Other Identifiers 1

Medicaid022369500FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pegah Ghafourian M.d. 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.

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.

MRS. LAURIE A. CECIL OTD, OTR/L, DRP
Occupational Therapist
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 475-5800
DR. HANIE FAWZY ABDEL MASIH D.O.
Family Medicine
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 475-5800
DR. CYNTHIA HARRIS PHARM. D.
Pharmacist
1536 N JEFFERSON ST, JOC PHARMACY DEPARTMENT
JACKSONVILLE, FL 32209
Duval County (904) 475-5938
DR. AMANDA SUE KENT D.O.
Radiology (Diagnostic Radiology)
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 470-6900
DR. RIAZ AHMED M.D.
Psychiatry & Neurology (Psychiatry)
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 470-5800
DR. ROBERT M LEVY D.M.D.
Dentist (General Practice)
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 475-5800
DR. MARTHA B WOMACK PHD
Psychologist (Clinical)
1536 N JEFFERSON ST, JACKSONVILLE OUTPATIENT CLINIC
JACKSONVILLE, FL 32209
Duval County (912) 447-5660
DR. ELIZABETH GARCIA MCCOY M.D.
Internal Medicine
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 475-5800

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 Pegah Ghafourian's NPI number?

The NPI number for Pegah Ghafourian is 1700113669. It was assigned to this individual provider in the NPPES registry on November 12, 2009.

Where is Pegah Ghafourian located?

Pegah Ghafourian practices at 1536 N Jefferson St, Jacksonville, FL 32209. The listed phone number is (904) 470-6900.

What is Pegah Ghafourian's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pegah Ghafourian enrolled in Medicare?

Yes. Pegah Ghafourian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pegah Ghafourian was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.