Mona F Fakhry, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME84328 Issued in FL

Practice address

10080 SW Innovation Way Ste 201
Port St Lucie, FL 34987-2129

Phone

(772) 344-3811

Fax

(772) 344-3890

NPI assigned

Mar 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Martin Memorial Medical Center IncGroup PAC ID 2961300611, 514 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Visiting Nurse Association of Florida Inc Home health agency, Stuart, FL, CCN 107177
• Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
• Aveanna Home Health Home health agency, Stuart, FL, CCN 683116
• All About You Home Health Agency Inc Home health agency, Boca Raton, FL, CCN 109462
• Centerwell Home Health Home health agency, Port Saint Lucie, FL, CCN 107586
• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mfakhry2500877@direct.ccf.org

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.

• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055

  FL

  Medicare reassignment Care Compare group NPD
• Euclid Hospital Cleveland Clinic Health System

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Cardiopulmonary Associates of the Treasure Coast PA

  • Specialist
  • Port St Lucie, FL
  • NPI 1104853498
  NPD (past)

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

• Access Home Health of Florida, LLC

  • Home Health Agency
  • Port Saint Lucie, FL
  • NPI 1831129162
  Care Compare affiliation
• All About You Home Health Agency, Inc.

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1700067683
  Care Compare affiliation
• Altercare of Palm Beach County LLC

  • Home Health Agency
  • Port St Lucie, FL
  • NPI 1831365253
  Care Compare affiliation
• Indian River Memorial Hospital Inc

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988

  Hospital

  Care Compare affiliation
• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055

  Hospital

  Care Compare affiliation
• Saving Lives Home Health Agency, LLC

  • Home Health Agency
  • Stuart, FL
  • NPI 1710246780
  Care Compare affiliation
• Visiting Nurse Association of Florida Inc

  • Home Health Agency
  • Stuart, FL
  • NPI 1104829696
  Care Compare affiliation
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1295796290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950417",
            "telephone_number": "772-223-5665",
            "fax_number": "772-223-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10080 SW INNOVATION WAY STE 201",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872129",
            "telephone_number": "772-344-3811",
            "fax_number": "772-344-3890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10050 SW Innovation Way",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349872117",
            "country_code": "US",
            "telephone_number": "772-344-3811",
            "fax_number": "772-344-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAKHRY",
        "first_name": "MONA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME84328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267597800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfakhry5084@direct.martinhealth.org",
            "affiliation": "N",
            "address_1": "10080 SW Innovation Way Ste 201",
            "city": "Port St Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349872129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Port St Lucie, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.