Individual provider Active NPI

Shahriar A Nabizadeh, MD

  • Hospitalist Physician
  • Green Cove Springs, FL
National Provider Identifier
1396775730
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME72727 Issued in FL
Practice address
801 Oak St
Green Cove Springs, FL 32043-4317
Phone
(904) 723-5665
Fax
(904) 723-5653
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME72727 FL Primary
Pain Medicine Physician 208VP0000X ME72727 FL

Addresses

Primary practice location

801 Oak St
Green Cove Springs, FL 32043-4317

Mailing address

PO Box 16373
Jacksonville, FL 32245-6373
Phone (904) 723-5665

Other identifiers 9

IdentifierTypeStateIssuer
250010395OtherFLMEDICARE RAILROAD
252411200OtherFLMEDIPASS
373007700OtherFLDEPT OF LABOR WORKCOMP
593590543OtherFLUNITED HEALTHCARE
2168186OtherFLAETNA
593590543OtherFLCIGNA
235909OtherFLAVMED HMO
252411200MedicaidFL
41489OtherFLBLUE CROSS BLUE SHIELD

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
I20070925000074 FL Practitioner - Physical Medicine and Rehabilitation 3971697764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shahriar a Nabizadeh MD PA Physical Medicine & Rehabilitation CurrentSince May 18, 2007 Accepting new patients
Neurotek Inc Current Accepting new patients
Careone Internal Medicine PastSince Aug 26, 2014 Accepting new patients

Locations

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

11512 Lake Mead Ave
Unit 601
Jacksonville, FL 32256
Phone (904) 374-8536

3599 University Blvd S
Ste 507
Jacksonville, FL 32216
Phone (904) 393-3377

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1396775730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16373",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322456373",
            "telephone_number": "904-723-5665",
            "fax_number": "904-723-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OAK ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320434317",
            "telephone_number": "904-723-5665",
            "fax_number": "904-723-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABIZADEH",
        "first_name": "SHAHRIAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME72727",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME72727",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "250010395",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIPASS",
            "identifier": "252411200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR WORKCOMP",
            "identifier": "373007700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "593590543",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2168186",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "593590543",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED HMO",
            "identifier": "235909",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252411200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "41489",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Cove Springs, FL

Sources for this page

Verify at the official NPI Registry.