DR. MOHAMED OMAR RADWAN (M.D.) – Pulmonary Disease Physician, NPI 1063746873

DR. MOHAMED OMAR RADWAN (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. ME110119 (FL). The NPI Number for DR. MOHAMED OMAR RADWAN (M.D.) is 1063746873

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHAMED OMAR RADWAN (M.D.)
NPI
1063746873
Phone
(904) 253-6910
Address
1325 SAN MARCO BLVD
Enumeration Date
25 September 2009
Last Update Date
11 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6192948111
Graduation Year
2002 (24 years ago)
PAC ID
1355527201
Group Practice PAC ID
9436314762
Professional Enrollment ID
I20180627000537
Address ID
CA921032105SA4077XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,173 PULMONARY DISEASE in FL

Loading map...

Provider Addresses for DR. MOHAMED OMAR RADWAN (M.D.)

  • San Marco Boulevard, San Marco, Jacksonville, Duval County, Florida, 32207, United States

    REID BUILDING, STE 300

    JACKSONVILLE, FL 322078568

    Phone: (904) 253-6910

    Fax: (904) 253-6964

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $1,219.

Total Amount is formed as General ($1,219) + Research ($0) + Ownership ($0) = $1,219.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,199).

Total Amount

$1,219

General + Research + Ownership

Payments

6

Total payment records

General Amount

$1,219

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110826000654IPulmonary DiseaseFLTBD
I20180627000537IPulmonary DiseaseCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes22692$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8354$0
99214Established patient office or other outpatient visit, 30-39 minutes7143$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3425$0
99204New patient office or other outpatient visit, 45-59 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 32207)

Loading plans...

Provider's Procedures

DR. MOHAMED OMAR RADWAN (M.D.) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEFL31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope1111
PULMONARY DISEASEFL36556Insertion of central venous catheter for infusion, patient 5 years or older2019
PULMONARY DISEASEFL94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436314762View full group profile
NameSpecialtyState
Internal MedicineCA
E N D O C R I N O L O G YCA
Nurse PractitionerCA
Physical Medicine And RehabilitationOR
Interventional Radiology, Diagnostic RadiologyTX
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Pulmonary Disease, Sleep MedicineCA
Pulmonary DiseaseCA
-CA
-NV
Physician AssistantCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm DR. MOHAMED OMAR RADWAN (M.D.)'s NPI?
Yes. DR. MOHAMED OMAR RADWAN (M.D.) is listed with NPI 1063746873 in the public NPI dataset.
Does the file indicate DR. MOHAMED OMAR RADWAN (M.D.) is practicing under active NPI?
Directory data currently reports DR. MOHAMED OMAR RADWAN (M.D.) as active.
What taxonomy line describes DR. MOHAMED OMAR RADWAN (M.D.)?
For research purposes, treat DR. MOHAMED OMAR RADWAN (M.D.) as Pulmonary Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. MOHAMED OMAR RADWAN (M.D.) based?
DR. MOHAMED OMAR RADWAN (M.D.) is tied to Jacksonville, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

PURVIN SHAH (D.O.)

Pulmonary Disease Physician
Baymeadows Road, Stonebridge Village Master, Stockade, Jacksonville, Duval County, Florida, 32256, United States
NPI: 1548268865

DR. STEPHEN BAGNOLI (M.D.)

Pulmonary Disease Physician
Brooks Rehabilitation Hospital, 3599, University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States
NPI: 1649270638

DR. JACK JERRY SALAH (M.D.)

Pulmonary Disease Physician
8236, Shady Grove Road, Deerwood, Jacksonville, Duval County, Florida, 32256, United States
NPI: 1336140938

MRS. INNA KOGAN (MD)

Pulmonary Disease Physician
113 WATER ST APT 736
NPI: 1700870433

DR. BRUCE MITCHELL YERGIN (M.D.)

Pulmonary Disease Physician
8773, Perimeter Park Court, Jacksonville, Duval County, Florida, 32216, United States
NPI: 1619962230

CHARLES BURGER (MD)

Pulmonary Disease Physician
Mayo Clinic Emergency Room, 4500, San Pablo Road South, Isle of Palms South, Jacksonville, Duval County, Florida, 32224, United States
NPI: 1790772671

DR. ADRIANA PETRETSKA (M.D.)

Pulmonary Disease Physician
San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States
NPI: 1366431728
San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States
NPI: 1649260571

DR. ABUBAKR AKHTAR BAJWA (M.D.)

Pulmonary Disease Physician
PO BOX 44008
NPI: 1467442392