DR. GAZANFAR RAHMATHULLA (M.D.) – Neurological Surgery Physician, NPI 1073750303

DR. GAZANFAR RAHMATHULLA (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. 072090 (GA). The NPI Number for DR. GAZANFAR RAHMATHULLA (M.D.) is 1073750303

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. GAZANFAR RAHMATHULLA (M.D.)
NPI
1073750303
Phone
(904) 244-9646
Address
580 W 8th St
Enumeration Date
8 January 2009
Last Update Date
7 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7158385222
Graduation Year
1998 (28 years ago)
PAC ID
7911155965
Group Practice PAC ID
4385553627
Professional Enrollment ID
I20221026002981
Address ID
WI547035222EA1400XSTXX300
Telehealth
Yes

Contacts

Secure Messaging
grahmathulla1786403@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness85
Years active:17State licenses:6Other namesUpdated within 12 months

567 NEUROSURGERY in FL

Provider Addresses for DR. GAZANFAR RAHMATHULLA (M.D.)

  • 580 W 8th St

    8th Floor Tower 1 T50

    Jacksonville, FL 322096533

    Phone: (904) 244-9646

    Fax: (904) 244-9439

    Type: Location

  • 580, West 8th Street, Jacksonville, Duval County, Florida, 32209, United States

    8TH FLOOR TOWER 1 T50

    JACKSONVILLE, FL 322096533

    Phone: (904) 244-9646

    Fax: (904) 244-9439

    Type: Mailing

  • 1400 BELLINGER ST

    EAU CLAIRE, WI 547035222

    Phone: (715) 838-5222

    Type: Location

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $2,276.

Total Amount is formed as General ($2,276) + Research ($0) + Ownership ($0) = $2,276.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Medtronic, Inc. ($2,148).

Total Amount

$2,276

General + Research + Ownership

Payments

23

Total payment records

General Amount

$2,276

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

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: 2022-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20130904000098INeurosurgeryFLTBD
I20140923001362INeurosurgeryGATBD
I20221026002981INeurosurgeryWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5544$0
99203New patient office or other outpatient visit, 30-44 minutes4747$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2726$0
99214Established patient office or other outpatient visit, 30-39 minutes2018$0
99212Established patient office or other outpatient visit, 10-19 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 32209)

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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: 4385553627View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. GAZANFAR RAHMATHULLA (M.D.)?
NPI 1073750303 is assigned to DR. GAZANFAR RAHMATHULLA (M.D.) under the national enumeration system.
Is DR. GAZANFAR RAHMATHULLA (M.D.) currently active in the NPI registry?
CMS-published data lists DR. GAZANFAR RAHMATHULLA (M.D.) as an active registrant.
What does DR. GAZANFAR RAHMATHULLA (M.D.) treat or focus on?
Patients typically see DR. GAZANFAR RAHMATHULLA (M.D.) under the specialty Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DR. GAZANFAR RAHMATHULLA (M.D.) practice in Florida?
You will see Jacksonville, Florida on file for DR. GAZANFAR RAHMATHULLA (M.D.) alongside any extra practice locations.
Is DR. GAZANFAR RAHMATHULLA (M.D.) a real provider?
This page reflects official NPPES data for NPI 1073750303. Always confirm identity and privileges with the practice and licensing boards.

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