Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588826838 Individual Practitioner Male Practitioner

Dr. Abdul Khalil Wallizada , MD

Pediatrics • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Dr. Abdul Wallizada, MD is a registered healthcare professional specializing in Pediatrics in Orange Park, FL. Practice services are available at 2051 PROFESSIONAL CENTER DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2051 Professional Center Drive

Orange Park, FL 320734461

Telephone 9042760005
Fax 8556003475
Associated Practice Facility / Clinic
🏢 Abdul Khalil Wallizada,md Facility NPI 1053360669

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Orange Park, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME0067026

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License FL ME67026

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
376381100 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 10, 2025

Registered at 2051 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL 320734461 (Tel: 9042760005)

📍
Updated Business Mailing Address January 10, 2025

Registered at 2051 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL 320734461 (Tel: 9042760005)

👤
Provider Name / Credentials Updated January 10, 2025

Recorded as ABDUL WALLIZADA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2025

Pediatrics (License #ME67026 in FL)

NPI Profile Active June 27, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2008

Registered at 2140 KINGSLEY AVE STE 10, ORANGE PARK, FL 320735129 (Tel: 9042760005)

📍
Updated Business Mailing Address June 27, 2008

Registered at 2140 KINGSLEY AVE STE 10, ORANGE PARK, FL 320735129 (Tel: 9042760005)

👤
Provider Name / Credentials Updated June 27, 2008

Recorded as KHALIL WALLIZADA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2008

Pediatrics (License #ME0067026 in FL)

🟢
Initial NPI Registration & Enumeration June 27, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588826838
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2008
Last Update: January 10, 2025
Sole Proprietor: Yes

Mailing Address

2051 Professional Center Drive

Orange Park, FL 320734461

Phone: 9042760005

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.