Individual provider Active NPI

Rasheed A. Awan, D.O.

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1326022948
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS5316 Issued in FL
Practice address
14810 Old Saint Augustine Rd Ste 101
Jacksonville, FL 32258-2558
Phone
(904) 435-0600
Fax
(904) 264-9750
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS5316 FL Primary

Addresses

Primary practice location

14810 Old Saint Augustine Rd Ste 101
Jacksonville, FL 32258-2558

Mailing address

705 Wells Rd Ste 300
Orange Park, FL 32073-2982
Phone (904) 282-6331

Other identifiers 1

IdentifierTypeStateIssuer
064252500MedicaidFL

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
I20100626000474 FL Practitioner - Internal Medicine 8527199082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians

Practice addresses (Care Compare)

14810 Old Saint Augustine Rd
Suite 208
Jacksonville, FL 32258-2558
Phone (904) 260-4111

1906 Southside Blvd
Jacksonville, FL 32216-1930
Phone (904) 724-3083

3625 University S Blvd
Jacksonville, FL 32216-4207
Phone (904) 399-6111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS5316FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Feb 15, 2012 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Feb 15, 2012 Accepting new patients
Physicians Group Services PA Internal Medicine CurrentSince May 1, 2016 Accepting new patients
Physicians Group Services PA CurrentSince May 1, 2016 Accepting new patients
Physicians Group Services PA Past Accepting new patients

Locations

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

14810 Old St Augustine Rd
Ste 208
Jacksonville, FL 32258
Phone (904) 260-4111

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

14810 Old St Augustine Rd
Ste 101
Jacksonville, FL 32258
Phone (904) 260-4111

1909 Beach Blvd
Ste 102
Jax Bch, FL 32250
Phone (904) 246-2752

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

1689 Eagle Harbor Pkwy
Ste A
Orange Park, FL 32003
Phone (904) 269-1366

705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • Direct secure messaging: rasheed.awan.1@25110.direct.athenahealth.com

Organizations & group practices 5

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 3

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1326022948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WELLS RD STE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732982",
            "telephone_number": "904-282-6331",
            "fax_number": "904-619-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14810 OLD SAINT AUGUSTINE RD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582558",
            "telephone_number": "904-435-0600",
            "fax_number": "904-264-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWAN",
        "first_name": "RASHEED",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS5316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064252500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.