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Dr. Raphael G Banoub , MD

Ophthalmology β€’ Jacksonville, FL

Active NPI 1821663782 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4500 San Pablo Rd S
Jacksonville, FL 322241865

Call 9049532000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000
Organization at the Same NPPES Address or Phone
Mayo Clinic Jacksonville Facility NPI 1790772317

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Deerfield Beach, FL; Fort Lauderdale, FL; New Hyde Park, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Mayo Clinic Jacksonville. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Wayne State University School Of Medicine

Graduation Year

2020

Open Payments general payments, program year 2025

All general payments: $4,183.20 across 28 records.

By nature of payment

  • Food and Beverage: $2,473.71 across 24 records.
  • Travel and Lodging: $1,709.49 across 4 records.

Reporting-company totals (3 largest of 7)

  • Glaukos Corporation: $1,550.88 across 5 records.
  • ABBVIE INC.: $1,462.86 across 11 records.
  • Johnson & Johnson Surgical Vision, Inc.: $346.55 across 5 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Banoub has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Banoub as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jacksonville and Florida

85 active clinicians are listed under Ophthalmology with a practice address in Jacksonville, FL (1,582 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

3.5% of these 85 clinicians have the CMS telehealth indicator.

69.4% of these 85 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 28 records totaling $4,183.20.

Manufacturer Payment Nature Product Type Amount ($)
Glaukos Corporation
Travel and Lodging
Cash or cash equivalent
β€” General $841.96
ABBVIE INC.
Travel and Lodging
In-kind items and services
XEN GLAUCOMA TREATMENT SYSTEM General $598.06
ABBVIE INC.
Travel and Lodging
In-kind items and services
XEN GLAUCOMA TREATMENT SYSTEM General $218.48
Glaukos Corporation
Food and Beverage
Cash or cash equivalent
iDoseTR General $192.07
Glaukos Corporation
Food and Beverage
Cash or cash equivalent
iStent infinite General $188.75
Glaukos Corporation
Food and Beverage
Cash or cash equivalent
β€” General $177.84
Glaukos Corporation
Food and Beverage
Cash or cash equivalent
iStent infinite General $150.26
Mallinckrodt Hospital Products Inc.
Food and Beverage
In-kind items and services
ACTHAR General $135.68
Sight Sciences, Inc.
Food and Beverage
In-kind items and services
OMNI SURGICAL SYSTEM General $131.45
Johnson & Johnson Surgical Vision, Inc.
Food and Beverage
In-kind items and services
VERITAS Vision System General $127.00
Mallinckrodt Hospital Products Inc.
Food and Beverage
In-kind items and services
ACTHAR General $124.46
ABBVIE INC.
Food and Beverage
In-kind items and services
DURYSTA General $123.91
ABBVIE INC.
Food and Beverage
In-kind items and services
DURYSTA General $123.42
NEW WORLD MEDICAL,INC.
Food and Beverage
In-kind items and services
Kahook Dual Blade General $122.91
ABBVIE INC.
Food and Beverage
In-kind items and services
DURYSTA General $122.55
Johnson & Johnson Surgical Vision, Inc.
Food and Beverage
In-kind items and services
VERITAS Vision System General $120.18
ABBVIE INC.
Food and Beverage
In-kind items and services
XEN GLAUCOMA TREATMENT SYSTEM General $119.50
Alcon Vision LLC
Food and Beverage
In-kind items and services
Clareon PanOptix Pro General $113.29
NEW WORLD MEDICAL,INC.
Food and Beverage
In-kind items and services
Kahook Dual Blade General $102.65
NEW WORLD MEDICAL,INC.
Food and Beverage
In-kind items and services
Kahook Dual Blade General $92.47
Johnson & Johnson Surgical Vision, Inc.
Food and Beverage
In-kind items and services
Tecnis Simplicity General $75.41
ABBVIE INC.
Travel and Lodging
In-kind items and services
XEN GLAUCOMA TREATMENT SYSTEM General $50.99
ABBVIE INC.
Food and Beverage
In-kind items and services
XEN GLAUCOMA TREATMENT SYSTEM General $40.48
ABBVIE INC.
Food and Beverage
In-kind items and services
XEN GLAUCOMA TREATMENT SYSTEM General $35.16
ABBVIE INC.
Food and Beverage
In-kind items and services
DURYSTA General $21.13

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-28
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

License # reported to NPPES FL ME175224

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OPHTHALMOLOGY

Medicare Enrollment ID

I20250818004551

Enrollment State Jurisdiction

FL

PECOS Control ID

8123527975

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Secondary Practice Locations

1600 S Andrews Ave

Fort Lauderdale, FL 333162510

Phone: 9543554400

27005 76th Ave

New Hyde Park, NY 110401402

Phone: 7184704475

201 E Sample Rd

Deerfield Beach, FL 330643502

Phone: 9549418300

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

37 listed
Dr. Zaid Abdel Rahman , MD

Internal Medicine - Hematology

NPI 1003299330

Doctor of Medicine (M.D.)

Dr. Mohammed Ahmed , MD

Radiology - Diagnostic Radiology

NPI 1013335876

Doctor of Medicine (M.D.)

Dr. Violeta Alvarez Retamales , MD

Internal Medicine - Nephrology

NPI 1013401090

Doctor of Medicine (M.D.)

Ryan Asencios , PA-C

Physician Assistant

NPI 1003484437

Physician Assistant (Certified)

Melinda Barber , ARNP

Nurse Practitioner

NPI 1013358613

Advanced Registered Nurse Practitioner

NPI 1013273986

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 28, 2025

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

πŸ‘€
Provider Name / Credentials Updated July 28, 2025

Recorded as RAPHAEL BANOUB, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2025

Ophthalmology (license number reported to NPPES: FL ME175224)

πŸ“
Updated Practice Location May 07, 2022

Registered at 1600 S ANDREWS AVE, FORT LAUDERDALE, FL 333162510 (Tel: 9543554400)

βœ…
NPI Profile Active May 24, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 24, 2021

Registered at 27005 76TH AVE, NEW HYDE PARK, NY 110401402 (Tel: 7184704475)

πŸ“
Business Mailing Address (Initial Record) May 24, 2021

Registered at 27005 76TH AVE, NEW HYDE PARK, NY 110401402 (Tel: 7184704475)

πŸ‘€
Provider Name / Credentials (Initial Record) May 24, 2021

Recorded as RAPHAEL BANOUB

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 24, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1821663782
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2021
Last Update: July 28, 2025
Sole Proprietor: No

Other Ophthalmology Specialists in Jacksonville

All Ophthalmology Specialists in Jacksonville

Mailing Address

27005 76th Ave

New Hyde Park, NY 110401402

Phone: 7184704475

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.