Active NPI
Mohammad Izhar, M.D.
- Nephrology Physician
- Fort Pierce, FL
National Provider Identifier
1114178779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME122816
- Practice address
- 2000 Hartman Rd Ste 1
Fort Pierce, FL 34947-4413 - Phone
- (724) 651-1707
- Fax
- (772) 465-1171
- NPI assigned
- Oct 1, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME122816 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN12977 | FL |
Addresses
Primary practice location
2000 Hartman Rd Ste 1
Fort Pierce, FL 34947-4413
Mailing address
2000 Hartman Rd Ste 1
Fort Pierce, FL 34947-4413
Phone (724) 651-1707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2000 Hartman Rd
Suite 1
Fort Pierce, FL 34947-4413
Phone (772) 465-1170
Hospital & facility affiliations
- DaVita Fort Pierce Kidney Center
- DaVita Gatlin Kidney Care
- DaVita Treasure Coast Dialysis
- DaVita Big Lake Kidney Center
- HCA Florida Lawnwood Hospital
- St Lucie Medical Center
- Cleveland Clinic Martin North Hospital
- HCA Florida Raulerson Hospital
- CCN 100366
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN12977 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Kidney Partners, LLP | Nephrology | Current | Accepting new patients |
| Samerah Razuman MD PLLC | Nephrology | Current | Accepting new patients |
| Dennar Dialysis, LLC | Past | Accepting new patients |
Locations
2000 Hartman Rd
Ste 1
Fort Pierce, FL 34947
Phone (772) 465-1170
14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418
107 NE 19th Dr
Okeechobee, FL 34972
Phone (772) 402-3449
1631 SW Gatlin Blvd
Ste 102
Port Saint Lucie, FL 34953
Phone (772) 465-1170
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- mizhar80973@direct.acumenmd.com
Organizations & group practices 3
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.
-
- Nephrology Physician
- Hudson, FL
- NPI 1780684795
-
- Nephrology Physician
- Fort Pierce, FL
- NPI 1750803888
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Port St Lucie, FL
- NPI 1558095513
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fort Pierce, FL
- NPI 1841924800
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Okeechobee, FL
- NPI 1447985213
Dialysis facility
-
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1003618406
-
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
-
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- General Acute Care Hospital
- Okeechobee, FL
- NPI 1215974134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1114178779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 HARTMAN RD STE 1",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349474413",
"telephone_number": "724-651-1707",
"fax_number": "772-465-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 HARTMAN RD STE 1",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349474413",
"telephone_number": "724-651-1707",
"fax_number": "772-465-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZHAR",
"first_name": "MOHAMMAD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-01",
"last_updated": "2023-03-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME122816",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN12977",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.