IndividualActive
Fatah Wallizada, M.D.
NPI 1255351599 · Pediatrics Physician · Jacksonville, FL
Fatah Wallizada, M.D. is a Pediatrics Physician provider in Jacksonville, FL (NPI 1255351599).
Provider details
- NPI number
- 1255351599
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME0062087 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1395 Cassat Ave
Suite# 1
Jacksonville, FL 32205-9616
Phone: (904) 388-5832
Fax: (904) 388-6270
Street-level locationGet directions
Mailing address
1395 Cassat Ave
Jacksonville, FL 32205-9616
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2007-07-08
Frequently asked questions
- What is Fatah Wallizada's NPI number?
- Fatah Wallizada's National Provider Identifier (NPI) is 1255351599, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fatah Wallizada's specialty?
- Fatah Wallizada is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Fatah Wallizada located?
- Fatah Wallizada's practice location on file with NPPES is 1395 Cassat Ave, Jacksonville, FL 32205-9616.
- What is Fatah Wallizada's phone number?
- The practice phone number listed in the NPPES registry for Fatah Wallizada is (904) 388-5832.
- Is Fatah Wallizada's NPI active?
- Yes — Fatah Wallizada's NPI (1255351599) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.