Active NPI
Tan Lucien Hassan Mohammed, MD
- Diagnostic Radiology Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME120580
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0299743 | Other | WA | LABOR & INDUSTRY |
| P01121104 | Other | WA | RAILROAD MEDICARE |
| 012305300 | Medicaid | FL | |
| MD00123 | Other | WA | AK DSHS |
| 1063476356 | Medicaid | WA | |
| 2517208 | Medicaid | OH |
Other names 1
- T. Lucien Mohammed
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NM, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
- Quality
- 38.49
- Promoting interoperability
- 0
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.22 of 100
- Quality
- 95.56
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 75.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.92
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME120580 | FL | MD | Diagnostic Radiology Physician |
| MD2022-0580 | NM | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Diagnostic Radiology | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Unm Medical Group Inc | Current | 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
- tmohammed150509@direct.shands.ufl.edu
- 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.
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
Diagnostic Radiology
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
- Clinic/Center
- Weston, FL
- NPI 1215989298
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1467654244
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
-
- General Acute Care Hospital
- Patchogue, NY
- NPI 1831910355
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.