Individual provider Active NPI

Rania Abdel-Rahman, M.D.

  • Nephrology Physician
  • Jacksonville, FL
National Provider Identifier
1013059211
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
106215 Issued in FL
Practice address
4168 Southpoint Pkwy S
Suite 103
Jacksonville, FL 32216-0966
Phone
(904) 551-1185
Fax
(904) 551-1184
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2222225 NC
Nephrology Physician 207RN0300X 106215 FL Primary

Addresses

Primary practice location

4168 Southpoint Pkwy S
Suite 103
Jacksonville, FL 32216-0966

Mailing address

4168 Southpoint Pkwy S
Suite 103
Jacksonville, FL 32216-0966
Phone (904) 551-1185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000832 FL Practitioner - Internal MedicinePractitioner - Nephrology 9830280478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Brody School of Medicine at East Carolina University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4168 Southpoint Pkwy S
Suite 103 Kidney Medical Care
Jacksonville, FL 32216-0913
Phone (904) 551-1185

Hospital & facility affiliations

  • Kidney Kare of Jacksonville, Inc Dialysis facility, Jacksonville, FL, CCN 682547
  • Gateway Dialysis Center Dialysis facility, Jacksonville, FL, CCN 102864
  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040
  • HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2222225NCMDInternal Medicine Physician
106215FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rania Abdel-Rahman MD PLLC Nephrology CurrentSince Dec 1, 2010 Accepting new patients
Hni Medical Services of Florida, LLC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Kidney Kare of Jacksonville FL, Inc. PastSince Dec 1, 2010 Accepting new patients
North Florida Gastroenterology LLC PastSince May 7, 2011 Accepting new patients

Locations

801 Oak St
Green Cv Spgs, FL 32043
Phone (904) 215-7015

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

836 Prudential Dr
Ste 1606
Jacksonville, FL 32207
Phone (904) 396-3700

4168 Southpoint Pkwy S
Ste 103
Jacksonville, FL 32216
Phone (904) 396-3700

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFFBBA/Endpoint/IFFBBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFFBBA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1013059211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4168 SOUTHPOINT PKWY S",
            "address_2": "SUITE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160966",
            "telephone_number": "904-551-1185",
            "fax_number": "904-551-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4168 SOUTHPOINT PKWY S",
            "address_2": "SUITE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160966",
            "telephone_number": "904-551-1185",
            "fax_number": "904-551-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL-RAHMAN",
        "first_name": "RANIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2222225",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "106215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.