DR. SAMIRA KHAZRAVAN M.D.
NPI 1942494984
Internal Medicine - Geriatric Medicine in Jacksonville, FL

Q: What is Samira Khazravan's NPI number?

The NPI number for Samira Khazravan is 1942494984. It was assigned to this individual provider in the NPPES registry on September 4, 2007.

Q: What is Samira Khazravan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Samira Khazravan was last updated on November 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 September 04, 2007PECOS EnrolledAccepts Medicare Assignment

1200 RIVERPLACE BLVD, 620, JACKSONVILLE, FL 32207(904) 396-6620(904) 396-6528 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Samira Khazravan M.d. NPPES

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

DR. SAMIRA KHAZRAVAN M.D. (NPI 1942494984) is an individual geriatric medicine provider in Jacksonville, Florida, licensed in Florida (ME100775) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1942494984

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameDR. SAMIRA KHAZRAVANCredential: M.D.

Location Address1200 RIVERPLACE BLVD, 620Jacksonville, FL 32207-9046

Mailing Address1200 Riverplace Blvd, 620Jacksonville, FL 32207-9046 · (904) 396-6620 · Fax (904) 396-6528

Phone(904) 396-6620

Fax(904) 396-6528

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateSeptember 4, 2007

Last NPPES UpdateNovember 22, 2013

✔ NPI 1942494984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

Licenses✔ Licensed in FL · ME100775✔ Licensed in NY · 245885

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

1200 RIVERPLACE BLVD, Jacksonville, FL 32207

Open in Google Maps ↗

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

Dr. Samira Khazravan 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 ID9335218676

PECOS Enrollment IDI20081114000554

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 11

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

357 services123 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

279 services99 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

101 services92 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

96 services90 patients

Advance care planning, first 30 minutes 99497

48 services45 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

44 services44 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

30 services27 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

28 services26 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

26 services25 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

23 services22 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

12 services11 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 32207 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

$171.84 typical visit price

range $56.00 – $171.84

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

Most-billed visit code 99205

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.

Referred Medical Equipment & Supplies CMS DME claims 22

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

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

2 suppliers12 claims1,128 services$0.10 avg. paid by Medicare

Collagen based wound filler, dry form, sterile, per gram of collagen A6010