MR. HARUN FAKIOGLU (MD) – Pediatric Critical Care Medicine Physician, NPI 1720052087

MR. HARUN FAKIOGLU (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in CRITICAL CARE (INTENSIVISTS), PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. ME77966 (FL). The NPI Number for MR. HARUN FAKIOGLU (MD) is 1720052087

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
MR. HARUN FAKIOGLU (MD)
NPI
1720052087
Phone
(904) 202-8550
Address
841 Prudential Dr Ste 280
Enumeration Date
14 February 2006
Last Update Date
13 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4075674000
Graduation Year
1994 (32 years ago)
PAC ID
1052388360
Group Practice PAC ID
9537072483
Professional Enrollment ID
I20040915001030
Address ID
FL328277884OR6535XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,454 CRITICAL CARE (INTENSIVISTS) in FL

Provider Addresses for MR. HARUN FAKIOGLU (MD)

  • 841 Prudential Dr Ste 280

    Jacksonville, FL 322078329

    Phone: (904) 202-8550

    Fax: (904) 393-7808

    Type: Location

  • Bert Martin's Champions for Children Emergency Department & Trauma Center, 92, Miller Street, Orlando, Orange County, Florida, 32806, United States

    ORLANDO, FL 328062032

    Phone: (407) 649-6944

    Fax: (321) 843-3210

    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 $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2023-08-23 • Largest payer in this snapshot: Nuwellis, Inc. ($84).

Total Amount

$84

General + Research + Ownership

Payments

1

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Nuwellis, Inc.$84
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: 2004-09-15

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
I20040915001030ICritical Care (Intensivists)FLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32207)

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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: 9537072483View full group profile
NameSpecialtyState
-AR
Infectious Disease, Pediatric MedicineDE
Diagnostic RadiologyDE
Emergency Medicine, Pediatric MedicineDE
Pediatric MedicineDE
A N E S T H E S I O L O G YPA
Pediatric MedicinePA
A N E S T H E S I O L O G YGA
-DE
Critical Care (Intensivists)DE

Reviews

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Frequently asked questions

How is MR. HARUN FAKIOGLU (MD) identified in CMS data?
CMS-hosted NPPES data lists MR. HARUN FAKIOGLU (MD) with NPI 1720052087.
Does CMS list MR. HARUN FAKIOGLU (MD) as active?
Yes — MR. HARUN FAKIOGLU (MD) is active in the NPI listing used on this page.
What healthcare role does MR. HARUN FAKIOGLU (MD) hold?
Scheduling teams often label MR. HARUN FAKIOGLU (MD) under Pediatric Critical Care Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MR. HARUN FAKIOGLU (MD) on a map?
Expect Jacksonville, Florida as a primary anchor for MR. HARUN FAKIOGLU (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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