Active NPI
Rodwan Mahfouz, M.D.
- Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 272478
- Practice address
- 587 Fifth Ave
Suite 801
New York, NY 10017-8747 - Phone
- (212) 249-1600
- Fax
- (212) 288-0809
- NPI assigned
- Jul 31, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME 120290 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 272478 | NY | Primary |
Addresses
Primary practice location
587 Fifth Ave
Suite 801
New York, NY 10017-8747
Mailing address
322 W 57TH St Apt 30Q
New York, NY 10019-3712
Phone (248) 881-7971
Other practice location 1
1951 NW 7th Ave Ste 300
Miami, FL 33136-1112
Phone (305) 902-6347
Other practice location 2
34 S Broadway Ste 711
White Plains, NY 10601-4427
Phone (914) 946-4700
Other practice location 3
358 Fifth Ave
Suite 1003
New York, NY 10001
Phone (914) 946-4700
Other practice location 4
721 W Colonial Dr
Orlando, FL 32804-7309
Phone (407) 245-8501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013184700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY, MI
- 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
- Psychiatry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 W Fortune St
Apt 1516
Tampa, FL 33602-3221
Phone (917) 300-9610
181 Kenwood Ave
Suite 10
Oneida, NY 13421-2802
Phone 8328694818235
4700 N Habana Ave
Suite 601
Tampa, FL 33614-7160
Phone 8328694818235
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 120290 | FL | MD | Psychiatry Physician |
| 272478 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychplus Associates of Michigan, PLLC | Psychiatry | Current | Accepting new patients |
| Psychiatry of Texas PLLC | Psychiatry | Current | Accepting new patients |
| South County Mental Health Center, Inc. | Current | Accepting new patients | |
| Triumph Psychiatry LLC | Psychiatry | Current | Accepting new patients |
| Psychplus Medical Associates, PLLC | Psychiatry | Current | Accepting new patients |
| Psychplus Medical Associates of Michigan, PLLC | Psychiatry | Current | Accepting new patients |
| Child & Family Medical, PLLC | Psychiatry | Past | Accepting new patients |
| Alexander L Levine | Past | Accepting new patients |
Locations
250 2nd St E
Ste 4C
Bradenton, FL 34208
Phone (941) 744-5860
16158 S Military Trl
Delray Beach, FL 33484
Phone (561) 495-0522
6700 Winkler Rd
Ste 4
Fort Myers, FL 33919
Phone 8328694818 ext. 235
5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427
4700 N Habana Ave
Ste 601
Tampa, FL 33614
Phone (201) 706-1143
126 College St
Ste A
Battle Creek, MI 49037
Phone (269) 969-6000
290 Town Center Dr
Ste 141
Dearborn, MI 48126
5901 Chase Rd
Ste 210
Dearborn, MI 48126
Phone (313) 945-6650
15400 Michigan Ave
Ste 1
Dearborn, MI 48126
Phone (313) 207-5767
3512 Coolidge Rd
East Lansing, MI 48823
Phone (517) 318-5889
1717 Shaffer St
Ste 209
Kalamazoo, MI 49048
Phone (269) 342-2991
181 Kenwood Ave
Ste 10
Oneida, NY 13421
7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/26014/brand/1/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- Psychiatry Physician
- Tampa, FL
- NPI 1225785835
-
- Psychiatry Physician
- Dearborn, MI
- NPI 1053172866
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1851144877
Psychiatry
-
- Family Medicine Physician
- Houston, TX
- NPI 1558118026
FL, Psychiatry
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Delray Beach, FL
- NPI 1033167721
-
- Psychiatry Physician
- Tampa, FL
- NPI 1205702339
-
- Clinical Psychologist
- New York, NY
- NPI 1508505512
-
- Psychiatry Physician
- White Plains, NY
- NPI 1710008339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588550400000",
"number": "1073827135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 W 57TH ST APT 30Q",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193712",
"telephone_number": "248-881-7971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "587 FIFTH AVE",
"address_2": "SUITE 801",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100178747",
"telephone_number": "212-249-1600",
"fax_number": "212-288-0809"
}
],
"practiceLocations": [
{
"address_1": "1951 NW 7th Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361112",
"country_code": "US",
"telephone_number": "305-902-6347",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "34 S Broadway Ste 711",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106014427",
"country_code": "US",
"telephone_number": "914-946-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "358 Fifth Ave",
"address_2": "Suite 1003",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10001",
"country_code": "US",
"telephone_number": "914-946-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "721 W Colonial Dr",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328047309",
"country_code": "US",
"telephone_number": "407-245-8501",
"fax_number": "407-245-8503",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHFOUZ",
"first_name": "RODWAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-31",
"last_updated": "2020-05-04",
"certification_date": "2020-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME 120290",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "272478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013184700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.