Individual provider Active NPI

Mahmoud A El-Tobgui, M.D.

  • Specialist
  • Merritt Island, FL
National Provider Identifier
1255463709
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
190 S Sykes Creek Pkwy
Merritt Island, FL 32952-3572
Phone
(321) 455-6353
Fax
(321) 455-6361
NPI assigned
Mar 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

190 S Sykes Creek Pkwy
Merritt Island, FL 32952-3572

Mailing address

190 S Sykes Creek Pkwy
Merritt Island, FL 32952-3572
Phone (321) 455-6353

Other names 1

  • Alan Tobgui Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Pain Care PA Specialist Past Accepting new patients
Brevard Pain Care, PA Specialist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255463709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S SYKES CREEK PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523572",
            "telephone_number": "321-455-6353",
            "fax_number": "321-455-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S SYKES CREEK PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523572",
            "telephone_number": "321-455-6353",
            "fax_number": "321-455-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-TOBGUI",
        "first_name": "MAHMOUD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALAN",
            "last_name": "TOBGUI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.