Individual provider Active NPI

Faris M. Al-Mousily, MD

  • Pediatric Cardiology Physician
  • Orlando, FL
National Provider Identifier
1114025301
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
ME70809 Issued in FL
Practice address
1222 S Orange Ave FL 2
Orlando, FL 32806-1215
Phone
(407) 649-6907
Fax
(407) 481-2035
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X ME70809 FL Primary

Addresses

Primary practice location

1222 S Orange Ave FL 2
Orlando, FL 32806-1215

Mailing address

3021 W Eau Gallie Blvd Ste 101
Melbourne, FL 32934-7005
Phone (321) 275-5444

Other practice location 1

1600 SW Archer Rd
Gainesville, FL 32610-7005
Phone (352) 265-0111

Other practice location 2

3021 W Eau Gallie Blvd Ste 101
Melbourne, FL 32934-7005
Phone (321) 275-5444

Other identifiers 1

IdentifierTypeStateIssuer
2506050000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071002000009 FL Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 1456446723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1222 S Orange Ave
Orlando, FL 32806-1215
Phone (407) 650-1300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME70809FLMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc Pediatric Cardiology CurrentSince Apr 11, 2017 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 11, 2017 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Brevard Health Alliance Inc Past Accepting new patients

Locations

1717 S Orange Ave
Ste 100
Orlando, FL 32806

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1222 S Orange Ave
Fl 2
Orlando, FL 32806
Phone (321) 843-3220

Interoperability endpoints

  • Direct secure messaging: faris.almousily@bha.eclinicaldirectplus.com
  • Direct secure messaging: falmousily15661@direct.shands.ufl.edu
  • Direct secure messaging: falmousily33237@orlandohealth.medalliesdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1114025301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 W EAU GALLIE BLVD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347005",
            "telephone_number": "321-275-5444",
            "fax_number": "321-275-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S ORANGE AVE FL 2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061215",
            "telephone_number": "407-649-6907",
            "fax_number": "407-481-2035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326107005",
            "country_code": "US",
            "telephone_number": "352-265-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3021 W Eau Gallie Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329347005",
            "country_code": "US",
            "telephone_number": "321-275-5444",
            "fax_number": "321-275-3799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-MOUSILY",
        "first_name": "FARIS",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME70809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2506050000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.