Provider Type Icon

DR. RABIE IBRAHIM ADAM-ELDIEN M.D. NPI 1104873355


NPI Information

NPI: 1104873355
Provider Name: DR. RABIE IBRAHIM ADAM-ELDIEN, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Organization: FIRST COAST NEPHROLOGY INC

PECOS Registration: Yes

Address:
4123 UNIVERSITY BLVD S
STE E
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 744-4448
Get Directions

DR. Rabie Ibrahim Adam-eldien, M.D. is a nephrology internal medicine in Jacksonville, FL with 29 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Rabie Ibrahim Adam-eldien, M.D. NPI is 1104873355. 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:

4123 UNIVERSITY BLVD S
STE E
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 744-4448
Fax: (904) 744-4048

The NPI 1104873355 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 enumeration date for this NPI number is 5/30/2006 and was last updated on 8/13/2020.


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
1207P00000XEmergency Medicine55776TENNESSEENo
2207R00000XInternal MedicineME119980FLORIDANo
3207RN0300XInternal MedicineNephrology55776TENNESSEEYes
4208M00000XHospitalist55776TENNESSEENo

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.