Individual provider Active NPI

Tan Lucien Hassan Mohammed, MD

  • Diagnostic Radiology Physician
  • Gainesville, FL
National Provider Identifier
1063476356
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME120580 Issued in FL
Practice address
1600 SW Archer Rd # 100374
Gainesville, FL 32610-0374
Phone
(352) 265-0291
Fax
(352) 265-0279
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD2022-0580 NM
Diagnostic Radiology Physician 2085R0202X 35084772 OH
Diagnostic Radiology Physician 2085R0202X ME120580 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd # 100374
Gainesville, FL 32610-0374

Mailing address

1100 9TH Ave
Seattle, WA 98101-2756
Phone (206) 515-5811

Other identifiers 6

IdentifierTypeStateIssuer
0299743OtherWALABOR & INDUSTRY
P01121104OtherWARAILROAD MEDICARE
012305300MedicaidFL
MD00123OtherWAAK DSHS
1063476356MedicaidWA
2517208MedicaidOH

Other names 1

  • T. Lucien Mohammed Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140730001807 FL Practitioner - Diagnostic Radiology 3971499229 Reassigns benefits to 4 organizations
I20220816002076 NM Practitioner - Diagnostic Radiology 3971499229 Reassigns benefits to 1 organization
I20231130001030 NY Practitioner - Diagnostic Radiology 3971499229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Meharry Medical College School of Medicine
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701

1300 Ave P
Brooklyn, NY 11229-1106
Phone (718) 376-1004

1300 Franklin Ave
Garden City, NY 11530-1760

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

1486 Deer Park Ave
Unit a
North Babylon, NY 11703-1214
Phone (631) 442-3200

153 Bay 26TH St
Brooklyn, NY 11214-4938
Phone (718) 630-7000

159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300

160 E 34TH St
New York, NY 10016-4744
Phone (212) 263-7300

16244 S Military TRL
560 NYU Langone Cardiology Delray Bea
Delray Beach, FL 33484-6532
Phone (561) 495-7787

180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone (516) 747-8900

22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone (718) 949-6433

2318 31St St
Suite 200
Astoria, NY 11105-2765
Phone (718) 777-7742

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

6915 Austin St
Forest Hills, NY 11375-4255
Phone (718) 544-5100

74 Kent St
Brooklyn, NY 11222-1517
Phone (516) 365-4949

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
75.49
Promoting interoperability
100
Improvement activities
40
Cost
76.92

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME120580FLMDDiagnostic Radiology Physician
MD2022-0580NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Oct 27, 2020 Accepting new patients
Unm Medical Group, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2014 Accepting new patients
New York University CurrentSince Dec 1, 2023 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Oct 7, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2014 Accepting new patients
University of Florida Jacksonville Physicians Inc Diagnostic Radiology CurrentSince Oct 27, 2020 Accepting new patients
New York University CurrentSince Dec 1, 2023 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Diagnostic Radiology Current Accepting new patients
Unm Medical Group Inc CurrentSince Aug 1, 2022 Accepting new patients
Tower Imaging LLC Diagnostic Radiology Past Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation Past Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology Past Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1600 SW Archer Rd
#100374
Gainesville, FL 32610
Phone (352) 265-0279

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: tmohammed150509@direct.shands.ufl.edu
  • Direct secure messaging: tmohammed612165@nyumc.direct-ci.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1063476356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-515-5811",
            "fax_number": "206-515-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD # 100374",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100374",
            "telephone_number": "352-265-0291",
            "fax_number": "352-265-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "TAN LUCIEN",
        "middle_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2022-0580",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35084772",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME120580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "0299743",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01121104",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012305300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AK DSHS",
            "identifier": "MD00123",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063476356",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2517208",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "T. LUCIEN",
            "last_name": "MOHAMMED",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.