Individual provider Active NPI

Joseph E Mouhanna, MD

  • Pain Medicine (Anesthesiology) Physician
  • South Miami, FL
National Provider Identifier
1295711000
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
650853 Issued in FL
Practice address
7575 SW 62ND Ave
South Miami, FL 33143-4955
Phone
(305) 447-6688
Fax
(305) 447-6588
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 650853 FL Primary

Addresses

Primary practice location

7575 SW 62ND Ave
South Miami, FL 33143-4955

Mailing address

7575 SW 62ND Ave
South Miami, FL 33143-4955
Phone (305) 447-6688

Other identifiers 5

IdentifierTypeStateIssuer
235537OtherFLAVMED
25838OtherFLBCBS
027018OtherNHP
22139OtherWELLCARE
375930000MedicaidFL

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
I20040212000500 FL Practitioner - Interventional Pain Management 4082508783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7575 SW 62ND Ave
Suite B
Miami, FL 33143-4904

7575 SW 62ND Ave
Suite B
South Miami, FL 33143-4950
Phone (305) 445-7246

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
650853FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph E Mouhanna MD PA Pain Medicine CurrentSince Oct 5, 1997 Accepting new patients

Locations

2601 SW 37th Ave
Ste 802
Miami, FL 33133
Phone (305) 447-6688

2601 SW 37th Ave
Ste 904
Miami, FL 33133
Phone (305) 447-6688

7575 SW 62nd Ave
South Miami, FL 33143
Phone (305) 445-7246

7575 SW 62nd Ave
Ste B
South Miami, FL 33143
Phone (305) 445-7246

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFCABA/Endpoint/FFCABA

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1295711000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 SW 62ND AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434955",
            "telephone_number": "305-447-6688",
            "fax_number": "305-447-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 SW 62ND AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434955",
            "telephone_number": "305-447-6688",
            "fax_number": "305-447-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUHANNA",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "650853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "235537",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25838",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "027018",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "22139",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375930000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.