Individual provider Active NPI

Rizwanul Kabir, MD

  • Anesthesiology Physician
  • Danville, PA
National Provider Identifier
1649484429
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME108908 Issued in FL
Practice address
100 N Academy Ave
Danville, PA 17822-2025
Phone
(248) 821-3178
Fax
(248) 821-3178
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD438984 PA
Anesthesiology Physician 207L00000X ME108908 FL Primary

Addresses

Primary practice location

100 N Academy Ave
Danville, PA 17822-2025

Mailing address

1564 Kingsley Ave
Orange Park, FL 32073-4521
Phone (904) 264-0400

Other practice location 1

1821 Blanding Blvd Ste 2
Middleburg, FL 32068-3839
Phone (904) 579-4842

Other practice location 2

8262 Point Meadows Dr Ste 101
Jacksonville, FL 32256-4702
Phone (904) 265-4320

Other practice location 3

1564 Kingsley Ave
Orange Park, FL 32073-4521
Phone (904) 264-0400

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
I20110921000403 FL Practitioner - Anesthesiology 2264626340 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Louisville School of Medicine, 2006
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)

1821 Blanding Blvd
Suite 1
Middleburg, FL 32068-3839
Phone (904) 406-3160

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group Services PA CurrentSince May 1, 2024 Accepting new patients
Northstar Anesthesia of Florida LLC Anesthesiology CurrentSince Jan 5, 2026 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Mar 16, 2022 Accepting new patients
Physicians Group Services PA CurrentSince May 1, 2024 Accepting new patients

Locations

12900 Cortez Blvd
Ste 103
Brooksville, FL 34613
Phone (352) 596-1145

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

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

8262 Point Meadows Dr
Ste 101
Jacksonville, FL 32256
Phone (904) 265-4320

1821 Blanding Blvd
Ste 2
Middleburg, FL 32068
Phone (904) 264-0400

1564 Kingsley Ave
Orange Park, FL 32073
Phone (904) 264-0400

421 Kingsley Ave
Ste 400
Orange Park, FL 32073
Phone (904) 204-5000

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

463380 State Road 200
Unit B
Yulee, FL 32097
Phone (904) 468-3080

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1649484429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734521",
            "telephone_number": "904-264-0400",
            "fax_number": "904-264-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178222025",
            "telephone_number": "248-821-3178",
            "fax_number": "248-821-3178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 Blanding Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "FL",
            "postal_code": "320683839",
            "country_code": "US",
            "telephone_number": "904-579-4842",
            "fax_number": "904-212-9891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8262 Point Meadows Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322564702",
            "country_code": "US",
            "telephone_number": "904-265-4320",
            "fax_number": "904-265-4319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1564 Kingsley Ave",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734521",
            "country_code": "US",
            "telephone_number": "904-264-0400",
            "fax_number": "904-264-0401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KABIR",
        "first_name": "RIZWANUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD438984",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME108908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.