DR. JACK IBRAHIM HAJ OBEID (M. D.) – Critical Care Medicine (Anesthesiology) Physician, NPI 1104808054
Critical Care Medicine (Anesthesiology) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
Provider Addresses for DR. JACK IBRAHIM HAJ OBEID (M. D.)
17929 HUNTING BOW CIR STE 102
LUTZ, FL 335585378
Phone: (813) 751-7855
Fax: (813) 475-5283
Type: Mailing
9330 State Road 54
Trinity, FL 346551808
Phone: (727) 834-4000
Type: Location
17929 Hunting Bow Cir Ste 102
Lutz, FL 33558
Phone: (813) 751-7855
Fax: (813) 475-5283
Type: Location
60 Memorial Medical Pkwy
Palm Coast, FL 321645980
Phone: (386) 586-2050
Type: Location
12902 USF MAGNOLIA DR
TAMPA, FL 336129416
Phone: (813) 745-7365
Fax: (813) 449-8618
Type: Location
PO BOX 198441
ATLANTA, GA 303848441
Phone: (813) 745-7365
Fax: (813) 449-8618
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-05-15 • Largest payer in this snapshot: ABBVIE INC. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $19 |
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: 2024-09-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041013000203 | I | Anesthesiology | FL | TBD |
| I20120127000973 | I | Critical Care (Intensivists) | WI | TBD |
| I20190826000567 | I | Critical Care (Intensivists) | TX | TBD |
| I20200305002466 | I | Internal Medicine | MD | TBD |
| I20240912003514 | I | Internal Medicine | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 372 | 165 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 62 | 43 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 23 | 14 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 20 | 20 | $0 |
| 31500 | Emergent insertion of breathing tube into windpipe using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 33558)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | FL | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 22 | 21 |
| INTERNAL MEDICINE | FL | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 54 | 51 |
| INTERNAL MEDICINE | FL | 94727 | Determination of lung volumes using gas dilution or washout | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| - | FL | |
| - | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| - | FL |
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