DR. ABDUL A QAZIZADA (M.D.) – Family Medicine Physician, NPI 1124044672

DR. ABDUL A QAZIZADA (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. ME94587 (FL). The NPI Number for DR. ABDUL A QAZIZADA (M.D.) is 1124044672

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. ABDUL A QAZIZADA (M.D.)
NPI
1124044672
Phone
(904) 908-4316
Address
7330 IRONSIDE DR W
Enumeration Date
15 July 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042761133
Graduation Year
1976 (50 years ago)
PAC ID
4688770985
Group Practice PAC ID
0840196176
Professional Enrollment ID
I20070503000085
Address ID
FL320658917OR865XXBLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. ABDUL A QAZIZADA (M.D.)

  • 7330, Ironside Drive West, Jacksonville, Duval County, Florida, 32244, United States

    JACKSONVILLE, FL 322444466

    Phone: (904) 908-4316

    Fax: (904) 276-1821

    Type: Mailing

  • Orange Park High School, Blanding Boulevard, Alexander Pointe, Clay County, Florida, 32073, United States

    ORANGE PARK, FL 320658917

    Phone: (904) 276-1133

    Fax: (904) 276-1821

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20070503000085IFamily PracticeFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15087$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2820$0
99239Hospital discharge day management, more than 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 32244)

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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: 0840196176View full group profile
NameSpecialtyState
Nurse PractitionerMO
General PracticeFL

Reviews

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Frequently asked questions

How do I look up DR. ABDUL A QAZIZADA (M.D.) by NPI?
Use NPI 1124044672 when you need to reference DR. ABDUL A QAZIZADA (M.D.) in forms, claims, or directories.
Is DR. ABDUL A QAZIZADA (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. ABDUL A QAZIZADA (M.D.)?
The page reflects Family Medicine Physician for DR. ABDUL A QAZIZADA (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ABDUL A QAZIZADA (M.D.)?
The page summarizes Jacksonville, Florida for DR. ABDUL A QAZIZADA (M.D.); expand the address list for detail.
How can I contact DR. ABDUL A QAZIZADA (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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