AYAN NASIR (MD) – Internal Medicine Physician, NPI 1124656459

AYAN NASIR (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. TRN30701 (FL). The NPI Number for AYAN NASIR (MD) is 1124656459

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
AYAN NASIR (MD)
NPI
1124656459
Phone
(904) 953-2000
Address
4500 SAN PABLO RD S
Enumeration Date
31 March 2020
Last Update Date
2 September 2020

Doctor Profile

Medical School Name
UNIV OF CENTRAL FLORIDA, COLLEGE OF MEDICINE
Secondary Phone
3522433443
Graduation Year
2020 (6 years ago)
PAC ID
9830510411
Group Practice PAC ID
2264521749
Professional Enrollment ID
I20230720003901
Address ID
FL347111926CL1950XWAYX400
Telehealth
Yes

Contacts

Secure Messaging
anasir1220263@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

12,378 INTERNAL MEDICINE in FL

Provider Addresses for AYAN NASIR (MD)

  • 4500 SAN PABLO RD S

    JACKSONVILLE, FL 322241865

    Phone: (904) 953-2000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $192.

Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($66).

Total Amount

$192

General + Research + Ownership

Payments

8

Total payment records

General Amount

$192

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

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: 2023-07-20

PECOS data refreshed: 2026-06-15

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
I20230720003901IInternal MedicineFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14373$0
99215Established patient office or other outpatient visit, 40-54 minutes1511$0
99496Transitional care management services for problem of high complexity1414$0
G0442Annual alcohol misuse screening, 5 to 15 minutes1313$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1111$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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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: 2264521749View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantFL
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What identifier follows AYAN NASIR (MD) across health systems?
The NPI 1124656459 uniquely identifies AYAN NASIR (MD) in U.S. healthcare data.
Quick check: is AYAN NASIR (MD) active?
Public NPPES data shows AYAN NASIR (MD) with an active NPI status right now.
What does the directory say AYAN NASIR (MD) does?
Insurance directories may phrase it differently, but here AYAN NASIR (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to AYAN NASIR (MD)?
The directory associates AYAN NASIR (MD) with Jacksonville, Florida. Check all listed addresses for suites or satellite offices.
Who maintains AYAN NASIR (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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