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DR. MOHAMED HISHAM ANTAR MD
NPI 1972580298
Specialist in Jacksonville, FL

Active since December 28, 2005PECOS Enrolled
2150 PARK ST, JACKSONVILLE, FL 32204(904) 384-8733(904) 384-9004 Get Directions Write a Review

NPPES record last updated: July 7, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mohamed Hisham Antar Md NPPES

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

DR. MOHAMED HISHAM ANTAR MD (NPI 1972580298) is an individual specialist in Jacksonville, Florida and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972580298
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MOHAMED HISHAM ANTARCredential: MD
Location Address2150 PARK STJacksonville, FL 32204-3847
Mailing Address2150 Park StJacksonville, FL 32204-3847 · (904) 384-8733 · Fax (904) 384-9004
Phone(904) 384-8733
Fax(904) 384-9004
Sole ProprietorYes
Enumeration DateDecember 28, 2005
Last NPPES UpdateJuly 7, 2010
✔ NPI 1972580298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2150 PARK ST, Jacksonville, FL 32204
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Other Identifiers 1

Medicare UPIND65744FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mohamed Hisham Antar Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Mohamed Antar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ackerman Cancer Center, P.A.
0.8 mi
Radiation Oncology
2 SHIRCLIFF WAY
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Ackerman Cancer Center PA
  • 20 clinicians in this Medicare group
NPI 1407885502 (904) 990-5250

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMED H ANTAR MD PA
Urology
2150 PARK ST
JACKSONVILLE, FL 32204
Duval County (904) 384-8733

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 Mohamed Antar's NPI number?

The NPI number for Mohamed Antar is 1972580298. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Mohamed Antar located?

Mohamed Antar practices at 2150 Park St, Jacksonville, FL 32204. The listed phone number is (904) 384-8733.

What is Mohamed Antar's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mohamed Antar enrolled in Medicare?

Yes. Mohamed Antar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mohamed Antar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Antar reassigns Medicare benefits to Ackerman Cancer Center, P.A. (Jacksonville, FL). The 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 Mohamed Antar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mohamed Antar was last updated on July 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.