Abdolreza Mohammadian, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME102692 Issued in FL

Practice address

1536 N.Jefferson Street
VA Outpatient Clinic
Jacksonville, FL 32209-0000

Phone

(904) 475-5800

Fax

(904) 301-2502

NPI assigned

May 20, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tenet Florida Physician Services LLC

  • Surgery Physician
  • West Palm Beach, FL
  • NPI 1659417467
  NPD (past)
• Tenet Florida Physician Services, LLC

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1699111211
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1386801116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 NORTH JEFFERSON STREET",
            "address_2": "VA OUTPATIENT CLINIC",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-475-5800",
            "fax_number": "904-301-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 N.JEFFERSON STREET",
            "address_2": "VA OUTPATIENT CLINIC",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322090000",
            "telephone_number": "904-475-5800",
            "fax_number": "904-301-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMADIAN",
        "first_name": "ABDOLREZA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME102692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE AND GERIATRIC MEDICINE",
            "identifier": "1386801116",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omer Mohamedahmed, MD
• Mohammad Basil Amin MD PA
• Abdelwhab Suliman Mohammad
• Amir Mohammadi, M.D.
• Homan Mohammadi, M.D.
• Payam Mohammadinejad
• Mohammed Touheed MD PA
• Adnan Mohammed, MD
• Amal Adil Elhassan Mohammed
• Doaa Osama Suliman Mohammed, MD

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.