Individual provider Active NPI

Mohammed Al-Humiari, MD

  • Pediatric Pulmonology Physician
  • Orlando, FL
National Provider Identifier
1245642875
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
ME133757 Issued in FL
Practice address
60 W Gore St FL 1
Orlando, FL 32806-1141
Phone
(321) 841-6350
Fax
(407) 841-6355
NPI assigned
Jun 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN20217 FL
Pediatric Pulmonology Physician 2080P0214X ME133757 FL Primary

Addresses

Primary practice location

60 W Gore St FL 1
Orlando, FL 32806-1141

Mailing address

60 W Gore St FL 1
Orlando, FL 32806-1141
Phone (321) 841-6350

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
I20210714001016 FL Practitioner - Pediatric Medicine 5890049936 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME133757FLMDPediatric Pulmonology Physician
TRN20217FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2021 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

60 W Gore St
Orlando, FL 32806
Phone (321) 841-3338

60 W Gore St
Fl 1
Orlando, FL 32806
Phone (321) 841-3338

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

86 Underwood St
Ste 202
Orlando, FL 32806

Interoperability endpoints

  • Direct secure messaging: malhumiari234890@orlandohealth.medalliesdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1245642875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W GORE ST FL 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061141",
            "telephone_number": "321-841-6350",
            "fax_number": "407-841-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W GORE ST FL 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061141",
            "telephone_number": "321-841-6350",
            "fax_number": "407-841-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HUMIARI",
        "first_name": "MOHAMMED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN20217",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "FL",
            "license": "ME133757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.