SHAHRIAR A NABIZADEH MD PA – Physical Medicine & Rehabilitation Physician, NPI 1982890687
Physical Medicine & Rehabilitation Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SHAHRIAR A NABIZADEH MD PA
Brooks Rehabilitation Hospital, 3599, University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States
STE-507
JACKSONVILLE, FL 322164252
Phone: (904) 565-1001
Fax: (904) 565-1006
Type: Location
801 OAK ST
GREEN COVE SPRINGS, FL 320434317
Phone: (904) 803-7593
Fax: (904) 723-5653
Type: Location
PO BOX 16373
JACKSONVILLE, FL 322456373
Phone: (904) 723-0015
Fax: (904) 338-0951
Type: Mailing
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: 2007-09-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (220 days ago).
Enrollment records
1
Earliest due date
2025-10-31
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 |
|---|---|---|---|---|
| O20070928000000 | O | Clinic/Group Practice | FL | 2025-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 32216)
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