Individual provider Active NPI

Arastoo T Nabizadeh, MD

  • Neurology Physician
  • Jacksonville, FL
National Provider Identifier
1730176348
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME60706 Issued in FL
Practice address
6816 Southpoint Pkwy Ste 201
Jacksonville, FL 32216-1701
Phone
(904) 281-1164
Fax
(904) 281-7732
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME60706 FL Primary

Addresses

Primary practice location

6816 Southpoint Pkwy Ste 201
Jacksonville, FL 32216-1701

Mailing address

PO Box 17809
Jacksonville, FL 32245-7809
Phone (904) 723-5665

Other identifiers 3

IdentifierTypeStateIssuer
250641600MedicaidFL
130020700OtherFLRAILROAD MEDICARE
1730176348OtherFLNPI

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
I20040819000481 FL Practitioner - Neurology 1951374685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6816 Southpoint Pkwy
Suite 201
Jacksonville, FL 32216-1701

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arastoo T Nabizadeh MD PA Neurology CurrentSince Jun 15, 1999 Accepting new patients
Jacksonville Critical Care Associates PA PastSince Jun 15, 1999 Accepting new patients
Dennis D. Dewey, M.D., P.a. Neurology PastSince Jan 1, 2010 Accepting new patients
Jacksonville Neurological Clinic, P.a. Past Accepting new patients

Locations

6816 Southpoint Pkwy
Ste 201
Jacksonville, FL 32216
Phone (904) 281-1164

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.

Hospital & facility affiliations 1

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1730176348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17809",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322457809",
            "telephone_number": "904-723-5665",
            "fax_number": "904-338-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 SOUTHPOINT PKWY STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161701",
            "telephone_number": "904-281-1164",
            "fax_number": "904-281-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABIZADEH",
        "first_name": "ARASTOO",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME60706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250641600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130020700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730176348",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.