Individual provider Active NPI

Mourad Abouelleil, M.D.

  • Urology Physician
  • West Palm Beach, FL
National Provider Identifier
1225357973
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME127355 Issued in FL
Practice address
1411 N Flagler Dr Ste 3800
West Palm Beach, FL 33401-3426
Phone
(561) 291-7182
Fax
(561) 437-2755
NPI assigned
May 20, 2010
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME127355 FL Primary

Addresses

Primary practice location

1411 N Flagler Dr Ste 3800
West Palm Beach, FL 33401-3426

Mailing address

PO Box 20800
Belfast, ME 04915-4105
Phone (888) 902-1099

Other identifiers 3

IdentifierTypeStateIssuer
208800000XOtherFLTAXONOMY
208800000XOtherFLROCKLEDGE HMA
ME127355OtherFLFL MEDICAL LICENSE

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
I20160829003214 FL Practitioner - Urology 5890080816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (561) 622-1411

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME127355FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc. Urology CurrentSince May 1, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Tenet Florida Physician Services LLC Urology CurrentSince Jun 1, 2024 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jun 1, 2024 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

7227 N US Highway 1
Ste 220
Cocoa, FL 32927
Phone (321) 631-5677

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

641 University Blvd
Ste 105
Jupiter, FL 33458
Phone (561) 691-6030

255 N Sykes Creek Pkwy
Ste 101
Merritt Island, FL 32953
Phone (321) 338-7885

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

1411 N Flagler Dr
Ste 3800
West Palm Beach, FL 33401
Phone (561) 291-7182

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mourad.abouelleil.1@13023.direct.athenahealth.com
  • Direct secure messaging: mourad.abouelleil.1@15594.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1225357973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20800",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154105",
            "telephone_number": "888-902-1099",
            "fax_number": "888-402-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 3800",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013426",
            "telephone_number": "561-291-7182",
            "fax_number": "561-437-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUELLEIL",
        "first_name": "MOURAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-20",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME127355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "208800000X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKLEDGE HMA",
            "identifier": "208800000X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICAL LICENSE",
            "identifier": "ME127355",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.