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DR. MOHAMED OMAR RADWAN M.D. NPI 1063746873


NPI Information

NPI: 1063746873
Provider Name: DR. MOHAMED OMAR RADWAN, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Organization: LA JOLLA PULMONARY AND CRITICAL CARE INC

PECOS Registration: Yes

Address:
1325 SAN MARCO BLVD
REID BUILDING, STE 300
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 253-6910
Get Directions

DR. Mohamed Omar Radwan, M.D. is a pulmonary disease internal medicine in Jacksonville, FL with 22 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Mohamed Omar Radwan, M.D. NPI is 1063746873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1325 SAN MARCO BLVD
REID BUILDING, STE 300
JACKSONVILLE, FL
ZIP 32207-568
Phone: (904) 253-6910
Fax: (904) 253-6964

The NPI 1063746873 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • Measurement of lung diffusing capacity (HCPCS:94729)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
  • Determination of lung volumes using plethysmography (HCPCS:94726)
  • Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)

The enumeration date for this NPI number is 9/25/2009 and was last updated on 4/11/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineME110119FLORIDANo
2207RC0200XInternal MedicineCritical Care MedicineME110119FLORIDANo
3207RP1001XInternal MedicinePulmonary DiseaseME110119FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1348958OTHERFLORIDAAVMED
214H00OTHERFLORIDABCBS
3P01364661OTHERFLORIDAMEDICARE RAILROAD
4003911100MEDICAIDFLORIDA
5FH540XMEDICARE PINFLORIDA
6936658OTHERFLORIDAAETNA
759-3385828OTHERFLORIDATAX ID FOR OTHER INSURANCES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.