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DR. ROD GHASSEMZADEH M.D.
NPI 1891082764
Pediatrics - Pediatric Critical Care Medicine in Jacksonville, FL

Active since June 29, 2011PECOS Enrolled
836 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 202-8550(904) 393-7808 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2022, Jul 27, 2021, Jul 4, 2019 and 2 more (5 updates tracked since 2017).

About Dr. Rod Ghassemzadeh M.d. NPPES

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

DR. ROD GHASSEMZADEH M.D. (NPI 1891082764) is an individual pediatric critical care medicine provider in Jacksonville, Florida, licensed in Florida (ME141896) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891082764
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. ROD GHASSEMZADEHCredential: M.D.
Location Address836 PRUDENTIAL DRJacksonville, FL 32207-8334
Mailing AddressPo Box 40767Jacksonville, FL 32203-0767 · (904) 376-3707
Phone(904) 202-8550
Fax(904) 393-7808
Sole ProprietorYes
Enumeration DateJune 29, 2011
Last NPPES UpdateMarch 11, 20225 updates tracked since enumeration
NPPES CertifiedMarch 11, 2022
✔ NPI 1891082764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in FL · ME141896✔ Licensed in PA · MD468026
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License A149517 (CA), MD468026 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
836 PRUDENTIAL DR, Jacksonville, FL 32207
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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)

Dr. Rod Ghassemzadeh 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.

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.

REPRODUCTIVE MEDICINE ASSOCIATES, P.A.
Obstetrics & Gynecology (Reproductive Endocrinology)
836 PRUDENTIAL DR, SUITE 902
JACKSONVILLE, FL 32207
Duval County (904) 399-5620
HECTOR EDWARD JAMES MD
Neurological Surgery
836 PRUDENTIAL DR, UFJP NEUROSURGERY - PEDIATRICS
JACKSONVILLE, FL 32207
Duval County (904) 398-5201
DR. ALAN RONALD ECKELS M.D.
Specialist
836 PRUDENTIAL DR, SUITE 1606
JACKSONVILLE, FL 32207
Duval County (904) 396-3700
ERIN M MOORE MD
Surgery (Vascular Surgery)
836 PRUDENTIAL DR, STE 1804
JACKSONVILLE, FL 32207
Duval County (904) 398-3888
HAYDEN POTTER APRN
Nurse Practitioner (Family)
836 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 000-0000
JOSEPH DAVID ALLEN PA-C
Physician Assistant (Medical)
836 PRUDENTIAL DR, SUITE 801
JACKSONVILLE, FL 32207
Duval County (904) 288-0433
JEFFREY D RICKETTS PA
Physician Assistant (Surgical)
836 PRUDENTIAL DR, STE 1804
JACKSONVILLE, FL 32207
Duval County (904) 398-3888
ALEXANDER TUAN ROSE M.D.
Surgery
836 PRUDENTIAL DR, SUITE 1001
JACKSONVILLE, FL 32207
Duval County (904) 398-0033

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 Rod Ghassemzadeh's NPI number?

The NPI number for Rod Ghassemzadeh is 1891082764. It was assigned to this individual provider in the NPPES registry on June 29, 2011.

Where is Rod Ghassemzadeh located?

Rod Ghassemzadeh practices at 836 Prudential Dr, Jacksonville, FL 32207. The listed phone number is (904) 202-8550.

What is Rod Ghassemzadeh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Rod Ghassemzadeh enrolled in Medicare?

Yes. Rod Ghassemzadeh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rod Ghassemzadeh was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.