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JAMAL RASHAAN CRADDIETH DO
NPI 1881453348
Student in an Organized Health Care Education/Training Program in Brooksville, FL

Active since March 18, 2024PECOS Enrolled
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613(352) 592-2753 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jamal Rashaan Craddieth Do NPPES

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

JAMAL RASHAAN CRADDIETH DO (NPI 1881453348) is an individual student in an organized health care education/training program in Brooksville, Florida and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881453348
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAMAL RASHAAN CRADDIETHCredential: DO
Location Address11375 CORTEZ BLVDBrooksville, FL 34613-5409
Mailing Address11375 Cortez BlvdBrooksville, FL 34613-5409 · (352) 592-2753
Phone(352) 592-2753
Sole ProprietorYes
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 17, 2024
✔ NPI 1881453348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11375 CORTEZ BLVD, Brooksville, FL 34613
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamal Rashaan Craddieth Do 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.

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.

SEAN MICHAEL
Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 592-2755
MELISSA MIDDLEBROOKS MD
Student in an Organized Health Care Education/Training Program
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 597-3072
KRISTEN COSTA
Nurse Practitioner (Family)
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 596-6632
DR. CASPER HEPLER DO
Anesthesiology
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 597-3072
NEAMI TERVIL DO
Student in an Organized Health Care Education/Training Program
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 592-2756
HCA HEALTH SERVICES OF FLORIDA, INC.
General Acute Care Hospital
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 596-6632
PUSHPA ALLAM-NANDYALA MD
Pathology (Anatomic Pathology & Clinical Pathology)
11375 CORTEZ BLVD, OAK HILL HOSPITAL
BROOKSVILLE, FL 34613
Hernando County (352) 596-6632
DR. ANUJ ANIL BHATIA MD
Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 596-6632

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 Jamal Craddieth's NPI number?

The NPI number for Jamal Craddieth is 1881453348. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Jamal Craddieth located?

Jamal Craddieth practices at 11375 Cortez Blvd, Brooksville, FL 34613. The listed phone number is (352) 592-2753.

What is Jamal Craddieth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jamal Craddieth enrolled in Medicare?

Yes. Jamal Craddieth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jamal Craddieth was last updated on March 18, 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.