Individual provider Active NPI

Abdul Rahman Kani, MD

  • Interventional Cardiology Physician
  • Jacksonville, FL
National Provider Identifier
1982677068
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME92691 Issued in FL
Practice address
8245 Bayberry Rd
Jacksonville, FL 32256-7432
Phone
(904) 296-7775
Fax
(904) 296-7760
NPI assigned
Feb 9, 2006
Last updated
Nov 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME92691 FL Primary

Addresses

Primary practice location

8245 Bayberry Rd
Jacksonville, FL 32256-7432

Mailing address

8245 Bayberry Rd
Jacksonville, FL 32256-7432
Phone (904) 296-7775

Other identifiers 2

IdentifierTypeStateIssuer
P00471928OtherFLRAILROAD MEDICARE
272011600MedicaidFL

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
I20050324000579 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880640671 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Multispecialty Physicians LLCGroup PAC ID 5890913743, 3 clinicians

Practice addresses (Care Compare)

8245 Bayberry Rd
Jacksonville, FL 32256-7432
Phone (904) 296-7775

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal164

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Care Center Inc CurrentSince Aug 1, 2007 Accepting new patients
North Florida Multispecialty Physicians LLC CurrentSince Dec 1, 2014 Accepting new patients
Atlantic Coast Cardiology LLC Interventional Cardiology CurrentSince Jun 29, 2025 Accepting new patients
North Florida Obstetrical and Gynecological Associates PA Past Accepting new patients
Capital Cardiology Associates PLLC Past Accepting new patients
Memorial Ekg Associates Past Accepting new patients

Locations

7685 103rd St
Ste 1
Jacksonville, FL 32210
Phone (904) 771-1116

8245 Bayberry Rd
Jacksonville, FL 32256
Phone (904) 296-7775

700 Zeagler Dr
Ste 2
Palatka, FL 32177
Phone (386) 312-1040

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCHICA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1982677068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 BAYBERRY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567432",
            "telephone_number": "904-296-7775",
            "fax_number": "904-296-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 BAYBERRY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567432",
            "telephone_number": "904-296-7775",
            "fax_number": "904-296-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANI",
        "first_name": "ABDUL",
        "middle_name": "RAHMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME92691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00471928",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272011600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.