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

ABDALLAH I KAFROUNI M.D.
NPI 1831284645
Hospitalist in Jacksonville, FL

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
4203 BELFORT ROAD, SUITE 215, JACKSONVILLE, FL 32216(904) 354-8200(904) 354-1340 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 16, 2026, Aug 13, 2025 (2 updates tracked since 2025).

About Abdallah I Kafrouni M.d. NPPES

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

ABDALLAH I KAFROUNI M.D. (NPI 1831284645) is an individual hospitalist provider in Jacksonville, Florida, licensed in Florida (ME106716) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1831284645
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameABDALLAH I KAFROUNICredential: M.D.
Location Address4203 BELFORT ROAD, SUITE 215Jacksonville, FL 32216-1416
Mailing Address4203 Belfort Road, Suite 215Jacksonville, FL 32216-1416 · (904) 354-8200 · Fax (904) 354-1340
Phone(904) 354-8200
Fax(904) 354-1340
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 4, 2006
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1831284645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME106716
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License D65843 (MD), 38659 (KY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME106716 (FL)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License ME106716 (FL)
4203 BELFORT ROAD, Jacksonville, FL 32216
Open in Google Maps ↗

Other Identifiers 3

OtherP00669592MD · R/r Medicare Pin
MedicaidAPPLIEDKY
OtherCN6601MD · R/r Group Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Abdallah I Kafrouni M.d. 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 ID9335245570
PECOS Enrollment IDI20130228000334, I20221118000182
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 Reassignments

5

Medicare enrollment records show Abdallah Kafrouni reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

First Coast Infectious Disease Consultants LLC
3.7 mi
Infectious Disease
2122 UNIVERSITY BLVD S
Jacksonville, FL 32216
  • Reassigned Medicare billing, Florida enrollment
  • 31 clinicians in this Medicare group
NPI 1740477843 (904) 398-5614
First Coast Surgical Associates Inc
4.2 mi
Surgery
6206 ATLANTIC BLVD STE 1
Jacksonville, FL 32211
  • Reassigned Medicare billing, Florida enrollment
  • 41 clinicians in this Medicare group
NPI 1548249543 (904) 731-3131
Vip Specialties Of Florida
7.5 mi
Hospitalist
13715 RICHMOND PARK DR N UNIT 401
Jacksonville, FL 32224
  • Reassigned Medicare billing, Florida enrollment
  • 34 clinicians in this Medicare group
NPI 1790499812 (410) 258-6500
St Vincents Ambulatory Care Inc
7.6 mi
Neurological Surgery
2 SHIRCLIFF WAY, SUITE 600
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida and Georgia enrollments
  • Medicare enrollment name: St Vincent's Ambulatory Care Inc
  • 544 clinicians in this Medicare group
NPI 1417987124 (904) 308-6769
Hni Hospital Services Of Florida, LLC
243 mi
Critical Care Medicine
615 N BONITA AVE
Panama City, FL 32401
  • Reassigned Medicare billing, Florida enrollment
  • 281 clinicians in this Medicare group
NPI 1144851411 (440) 572-5000

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 9

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.
193 services94 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
77 services61 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
72 services71 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
44 services43 patients
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.
38 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Bacon County Hospital

Critical Access Hospitals · Alma, GA
OwnershipVoluntary non-profit - Other
CMS Certification Number111327
Location302 South Wayne StreetAlma, GA 31510 · Bacon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
32%60 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
25%55 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
38%144 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
30%23 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%140 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
5%137 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%205 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
61%388 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
58%267 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
87%388 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
36%388 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
52%388 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers28 claims28 services$32.02 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers26 claims26 services$73.12 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers27 claims71 services$26.00 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers20 claims103 services$12.19 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers39 claims39 services$42.81 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers36 claims36 services$14.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SOUTHSIDE MEDICAL ASSOICATES LLC
Internal Medicine
4203 BELFORT ROAD
JAKSONVILLE, FL 32216
Duval County (703) 556-6620
DR. SHANAN LOE M.D.
Obstetrics & Gynecology
4203 BELFORT ROAD, SUITE 204
JACKSONVILLE, FL 32216
Duval County (904) 296-5688
DR. RICHARD DONALD WETMORE M.D.
Family Medicine
4203 BELFORT ROAD, SUITE 315
JACKSONVILLE, FL 32216
Duval County (904) 564-4369

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 Abdallah Kafrouni's NPI number?

The NPI number for Abdallah Kafrouni is 1831284645. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Abdallah Kafrouni located?

Abdallah Kafrouni practices at 4203 Belfort Road Suite 215, Jacksonville, FL 32216. The listed phone number is (904) 354-8200.

What is Abdallah Kafrouni's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Abdallah Kafrouni enrolled in Medicare?

Yes. Abdallah Kafrouni 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 organizations bill Medicare for Abdallah Kafrouni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdallah Kafrouni reassigns Medicare benefits to 5 organizations: First Coast Infectious Disease Consultants LLC (Jacksonville, FL), First Coast Surgical Associates Inc (Jacksonville, FL), Vip Specialties Of Florida (Jacksonville, FL), St Vincents Ambulatory Care Inc (Jacksonville, FL) and Hni Hospital Services Of Florida, LLC (Panama City, FL). Each 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 Abdallah Kafrouni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abdallah Kafrouni accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Cigna HealthCare of Florida, Inc. and 6 other insurers list Abdallah Kafrouni 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 Abdallah Kafrouni affiliated with any hospitals?

According to CMS data, Abdallah Kafrouni is affiliated with Ascension St Vincent's Riverside, Ascension St Vincent's Southside and Bacon County Hospital.

When was this NPI record last updated?

The NPPES record for Abdallah Kafrouni was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.