Individual provider Active NPI

Youssef W. Wassef, M.D., M.S.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Gainesville, FL
National Provider Identifier
1205936770
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME 0070490 Issued in FL
Practice address
6801 NW 9TH Blvd
Suite 4
Gainesville, FL 32605-4269
Phone
(352) 367-3422
Fax
(352) 379-7707
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME 0070490 FL Primary

Addresses

Primary practice location

6801 NW 9TH Blvd
Suite 4
Gainesville, FL 32605-4269

Mailing address

PO Box 358492
Gainesville, FL 32635-8492
Phone (352) 367-3422

Other identifiers 3

IdentifierTypeStateIssuer
51651OtherFLBLUE CROSS BLUE SHIELD ID
51651ZMedicaidFL
267792000MedicaidFL

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
I20110105000081 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 4880896794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Group practices
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

6801 NW 9TH Blvd
Suite 4
Gainesville, FL 32605-4263
Phone (352) 367-3422

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Gainesville, FL, CCN 687196

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0070490FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All Physical Medicine & Rehabilitation, P.a. Pain Medicine CurrentSince Aug 1, 2003 Accepting new patients
Center for Optimal Health LLC Past Accepting new patients
Wyndmoor Rehab Associates P.C. Past Accepting new patients

Locations

6801 NW 9th Blvd
Ste 4
Gainesville, FL 32605
Phone (352) 219-3538

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CICGCA/Endpoint/CICGCA

Organizations & group practices 4

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1205936770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358492",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326358492",
            "telephone_number": "352-367-3422",
            "fax_number": "352-379-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 NW 9TH BLVD",
            "address_2": "SUITE 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054269",
            "telephone_number": "352-367-3422",
            "fax_number": "352-379-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSEF",
        "first_name": "YOUSSEF",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME 0070490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "51651",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51651Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267792000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.