Robert David Mouradian, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME75337 Issued in FL

Practice address

9726 Touchton Rd Ste 305
Jacksonville, FL 32246-8307

Phone

(904) 686-6020

Fax

(904) 619-8879

NPI assigned

Sep 9, 2005

Last updated

Apr 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Anesthesiology

Education

Hahnemann University College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians

Anesthesia Consultants PAGroup PAC ID 4486547049, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anesthesia Consultants PA

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1346240066
  Medicare reassignment Care Compare group NPD
• Physicians Group Services PA

  dba Coastal Health

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1861440810
  Medicare reassignment Care Compare group NPD
• Gulfcoast Spine Institute, LLC

  dba BioSpine Institute

  • Orthopaedic Surgery of the Spine Physician
  • Tampa, FL
  • NPI 1639132616

  Anesthesiology

  Medicare reassignment NPD
• Vision Anesthesia LLC

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1134740319
  Medicare reassignment NPD
• Quiescence Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1942671805

  FL

  Medicare reassignment NPD
• Robert D Mouradian PA

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1437374923
  Authorized official Same address or phone
• Gulfcoast Spine Institute, LLC

  dba BioSpine Institute

  • Orthopaedic Surgery of the Spine Physician
  • Fort Myers, FL
  • NPI 1013334655
  NPD
• Physicians Group Services PA

  dba Coastal Health

  • Durable Medical Equipment & Medical Supplies
  • Middleburg, FL
  • NPI 1699170035
  NPD
• Anesthesia Associates of Greater Miami, PA

  • Anesthesiology Physician
  • South Miami, FL
  • NPI 1497700140
  NPD (past)
• Chillicothe Anesthesia Associates Inc

  • Anesthesiology Physician
  • Chillicothe, OH
  • NPI 1902806789
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1275527756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 SENTRY OAK CIR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562323",
            "telephone_number": "904-476-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9726 TOUCHTON RD STE 305",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468307",
            "telephone_number": "904-686-6020",
            "fax_number": "904-619-8879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3625 University Blvd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164207",
            "country_code": "US",
            "telephone_number": "904-421-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOURADIAN",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME75337",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35076224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Kay Moulds, CAA
• Tiffany Nicole Moulterie, D.C
• Moudcaer S Mounajjed, DO
• Nita Mounce
• Mount Gilead
• Brianna Mourao
• Taylor Faith Harbison Mourao, MSN, AGACNP-BC
• Natalie Calvo Moure, APRN, FNP-C
• Omar Mousa, MBBS
• Yara Moustafa, M.D.

• Anesthesiology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.

Verify at the official NPI Registry.