DR. SAMIRA KHAZRAVAN M.D. NPI 1942494984

NPI Information

  • NPI: 1942494984
  • Provider Name: DR. SAMIRA KHAZRAVAN, M.D.
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1200 RIVERPLACE BLVD
    620
    JACKSONVILLE, FL
    ZIP 32207
  • Phone: (904) 396-6620

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NPI Details

DR. Samira Khazravan, M.D. is a geriatric medicine internal medicine in Jacksonville, FL with 22 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. Samira Khazravan, M.D. NPI is 1942494984. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 RIVERPLACE BLVD
620
JACKSONVILLE, FL
ZIP 32207-046
Phone: (904) 396-6620
Fax: (904) 396-6528

The NPI 1942494984 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.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Nursing facility annual assessment, typically 30 minutes (HCPCS:99318)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)

The enumeration date for this NPI number is 9/4/2007 and was last updated on 11/22/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine245885NEW YORKNo
2207RG0300XInternal MedicineGeriatric MedicineME100775FLORIDAYes

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: 3/30/2025

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