Individual provider Active NPI

Ralph Rizk, DO

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1144629205
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS14887 Issued in FL
Practice address
1045 Riverside Ave Ste 100
Jacksonville, FL 32204-4148
Phone
(904) 328-5979
Fax
(904) 619-9925
NPI assigned
Aug 14, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS020026 PA
Orthopaedic Surgery Physician 207X00000X OS14887 FL Primary

Addresses

Primary practice location

1045 Riverside Ave Ste 100
Jacksonville, FL 32204-4148

Mailing address

1045 Riverside Ave Ste 100
Jacksonville, FL 32204-4148
Phone (904) 328-5979

Other practice location 1

794 Blanding Blvd
Orange Park, FL 32065-5721
Phone (904) 328-5979

Other practice location 2

6100 Kennerly Rd Ste 202
Jacksonville, FL 32216-4379
Phone (904) 328-5979

Other practice location 3

2 Shircliff Way Ste 605
Jacksonville, FL 32204-4762
Phone (904) 634-0640

Other practice location 4

14785 Old Saint Augustine Rd Ste 100
Jacksonville, FL 32258-7407
Phone (904) 456-0017

Other practice location 5

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1321

Other identifiers 2

IdentifierTypeStateIssuer
OS14887OtherFLMEDICAL LICENSE NUMBER
112467800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200617003222 FL Practitioner - Orthopedic Surgery 7618202888 Reassigns benefits to 3 organizations
I20210715003751 GA Practitioner - Orthopedic Surgery 7618202888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Nova Southeastern College of Osteo Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians
First Coast Surgical Associates Inc.Group PAC ID 5395779359, 31 clinicians
Southeast Orthopedic Specialists LLCGroup PAC ID 1456246974, 144 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

1390 Boone Ave Ext
Kingsland, GA 31548-6515
Phone (419) 221-3717

1900 Tebeau St
Waycross, GA 31501-6357
Phone (904) 731-3131

2 Shircliff Way
Suite 605
Jacksonville, FL 32204-4762
Phone (904) 634-0640

6206 Atlantic Blvd
Suite 1
Jacksonville, FL 32211-7560
Phone (904) 731-7131

PO Box
Melrose, FL 32666-1099

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Jacksonville, FL, CCN 687131
  • Concierge Home Care Home health agency, Orange Park, FL, CCN 109771
  • Brooks Rehabilitation Home Health Home health agency, Jacksonville, FL, CCN 103174
  • Baptist Home Health Care by Bayada Home health agency, Jacksonville, FL, CCN 107482
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040
  • Ascension St Vincent'S Clay County Hospital, Middleburg, FL, CCN 100321
  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • Ed Fraser Memorial Hospital Hospital, Macclenny, FL, CCN 100134
  • Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039

Merit-based Incentive Payment System (MIPS)

Final score
90.75 of 100Reported as group
Quality
88.19
Promoting interoperability
100
Improvement activities
40
Cost
80.96

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement39
Knee replacement33
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS14887FLMDOrthopaedic Surgery Physician
OS020026PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Surgical Associates Inc Orthopaedic Surgery CurrentSince Jan 21, 2024 Accepting new patients
Integrity Spine and Orthopedics LLC Orthopaedic Surgery CurrentSince May 1, 2024 Accepting new patients
Lakeland Regional Health Systems, Inc. Orthopaedic Surgery CurrentSince Jan 1, 2022 Accepting new patients
Southeast Orthopedic Specialists, LLC Orthopaedic Surgery CurrentSince Jul 1, 2024 Accepting new patients
Southeast Orthopedic Specialists, LLC Orthopaedic Surgery CurrentSince Jul 1, 2024 Accepting new patients
Fawzi Farha MD Inc Past Accepting new patients

Locations

6206 Atlantic Blvd
Jacksonville, FL 32211
Phone (904) 990-0777

2 Shircliff Way
Ste 605
Jacksonville, FL 32204
Phone (904) 328-5979

6067 Kennerly Rd
Jacksonville, FL 32216
Phone (904) 731-3131

14785 Old St Augustine Rd
Ste 100
Jacksonville, FL 32258
Phone (904) 292-1808

6206 Atlantic Blvd
Ste 1
Jacksonville, FL 32211
Phone (904) 731-3131

10475 Centurion Pkwy N
Ste 220
Jacksonville, FL 32256
Phone 9046340640 ext. 1014

3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1222

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

1811 Blanding Blvd
Ste 102
Middleburg, FL 32068
Phone (904) 456-0017

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHGECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EBEAED/Endpoint/EBEAED
  • FHIR API: https://fhir-myrecord.cerner.com/r4/PlW-EjC8LXq2pLtfi8pP4Fb9PQcNWAMu/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFEDCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CBHDDD/Endpoint/CBHDDD

Organizations & group practices 8

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 12

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": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1144629205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 RIVERSIDE AVE STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044148",
            "telephone_number": "904-328-5979",
            "fax_number": "904-619-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 RIVERSIDE AVE STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044148",
            "telephone_number": "904-328-5979",
            "fax_number": "904-619-9925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "794 Blanding Blvd",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320655721",
            "country_code": "US",
            "telephone_number": "904-328-5979",
            "fax_number": "904-619-9925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6100 Kennerly Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164379",
            "country_code": "US",
            "telephone_number": "904-328-5979",
            "fax_number": "904-619-9925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Shircliff Way Ste 605",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044762",
            "country_code": "US",
            "telephone_number": "904-634-0640",
            "fax_number": "904-634-0203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14785 Old Saint Augustine Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322587407",
            "country_code": "US",
            "telephone_number": "904-456-0017",
            "fax_number": "904-456-0018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1324 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338054543",
            "country_code": "US",
            "telephone_number": "863-687-1321",
            "fax_number": "863-284-1786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZK",
        "first_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS020026",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS14887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "OS14887",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112467800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.