Ricardo Kevin Mohammed, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS13830 Issued in FL

Practice address

5992 Berryhill Rd
Suite 203
Milton, FL 32570-1013

Phone

(850) 626-5391

NPI assigned

Jun 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

General Surgery

Education

New York College of Osteo Medicine of New York Institute of Technology, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Okaloosa Clinic CorpGroup PAC ID 0244205565, 27 clinicians

Santa Rosa Hma Physician Management, LLCGroup PAC ID 1658478532, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122
• Santa Rosa Medical Center Hospital, Milton, FL, CCN 100124

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

77.6

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ricardo.mohammed.1@4692.direct.athenahealth.com
• Direct secure messaging: ricardo.mohammed.1@1523.direct.athenahealth.com

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.

• North Okaloosa Clinic Corp

  • Internal Medicine Physician
  • Crestview, FL
  • NPI 1659329852
  Medicare reassignment Care Compare group NPD
• Santa Rosa Hma Physician Management, LLC

  • Family Medicine Physician
  • Milton, FL
  • NPI 1447365366

  Surgery

  Medicare reassignment Care Compare group NPD
• North Okaloosa Clinic Corp

  • Durable Medical Equipment & Medical Supplies
  • Crestview, FL
  • NPI 1477738896
  NPD
• Santa Rosa Hma Physician Management LLC

  • Family Medicine Physician
  • Pace, FL
  • NPI 1043880347
  NPD (past)
• Santa Rosa Hma Physician Management LLC

  • Family Medicine Physician
  • Navarre, FL
  • NPI 1245800101

  Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crestview Hospital Company, LLC

  • General Acute Care Hospital
  • Crestview, FL
  • NPI 1104897859
  Care Compare affiliation
• Hma Santa Rosa Medical Center LLC

  • General Acute Care Hospital
  • Milton, FL
  • NPI 1528015302
  Care Compare affiliation

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1275844870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5992 BERRYHILL RD",
            "address_2": "SUITE 203",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325701013",
            "telephone_number": "850-626-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5992 BERRYHILL RD",
            "address_2": "SUITE 203",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325701013",
            "telephone_number": "850-626-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "RICARDO",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS017293",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS13830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ricardo.mohammed@srmcfl.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "5992 Berryhill Rd",
            "address_2": "SUITE 203",
            "city": "Milton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325701013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelo Marcus Mishio, NP
• Eric G Mitchell, DC
• Kristen Mitchem, APRN
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• Nohemi Moffatt, PH.D./CCC-SLP
• Lelia F Montes, MD
• Abby Moore, PA
• Beth Ann-Pontius Moore, APRN
• Brady Aron Moore, RBT
• Casey Dakota Lynn Moore, RBT

• Surgery Physician in Milton, FL
• Providers in Milton, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.