Individual provider Active NPI

Roman Mosai, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1093877144
Registry record updated Dec 22, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Sep 19, 2013.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40999 Issued in FL
Practice address
5084 W Colonial Dr
Orlando, FL 32808-7666
Phone
(407) 822-4739
Fax
(407) 822-4789
NPI assigned
Dec 14, 2006
Last updated
Dec 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 40999 FL
Family Medicine Physician 207Q00000X 40999 FL Primary
Internal Medicine Physician 207R00000X 40999 FL

Addresses

Primary practice location

5084 W Colonial Dr
Orlando, FL 32808-7666

Mailing address

9112 Dollanger CT
Orlando, FL 32819-4064
Phone (407) 822-4739

Other identifiers 1

IdentifierTypeStateIssuer
0474711-00MedicaidFL

Other names 1

  • Romanchal Mosai Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40999FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Medical Clinic PA Emergency Medicine PastSince Sep 20, 2004 Accepting new patients
Magnolia Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1093877144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9112 DOLLANGER CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194064",
            "telephone_number": "407-822-4739",
            "fax_number": "407-822-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5084 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087666",
            "telephone_number": "407-822-4739",
            "fax_number": "407-822-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSAI",
        "first_name": "ROMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "40999",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "40999",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "40999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0474711-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROMANCHAL",
            "last_name": "MOSAI",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.