NPIMap

Individual provider Active NPI

Ali Mouzannar, MD

  • Urology Physician
  • Miami, FL
National Provider Identifier
1306360474
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME169743 Issued in FL
Practice address
1150 NW 14TH St Ste 309
Miami, FL 33136-2114
Phone
(305) 243-6090
NPI assigned
Aug 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME169743 FL Primary

Addresses

Primary practice location

1150 NW 14TH St Ste 309
Miami, FL 33136-2114

Mailing address

2000 Salzedo St Apt 1110
Coral Gables, FL 33134-4348
Phone (786) 676-1151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230825000838 NY Practitioner - Urology 5395108237 Reassigns benefits to 1 organization
I20250226002251 FL Practitioner - Urology 5395108237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1150 NW 14TH St
Professional Arts Building
Miami, FL 33136-2137
Phone (305) 585-5215

Hospital & facility affiliations

  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079
  • Jackson Health System Hospital, Miami, FL, CCN 100022

Merit-based Incentive Payment System (MIPS)

Final score
85.97 of 100Reported as group
Quality
82.74
Improvement activities
40
Cost
79.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME169743FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mskcc Surgery Group CurrentSince Jul 1, 2023 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Dec 26, 2024 Accepting new patients
University of Miami Urology CurrentSince Dec 26, 2024 Accepting new patients
University of Miami Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1120 NW 14th St
Miami, FL 33136
Phone (305) 243-2000

1150 NW 14th St
Miami, FL 33136
Phone (305) 243-6165

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1201 NW 16th St
Miami, FL 33125
Phone (305) 575-3150

1611 NW 12th Ave
Ste 600B
Miami, FL 33136
Phone (305) 355-1303

1150 NW 14th St
Ste 309
Miami, FL 33136
Phone (305) 243-4562

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

Networks

  • Healthfirst Medicare Network H3359
  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: amouzannar48886@direct.med.miami.edu

Organizations & group practices 5

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1306360474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SALZEDO ST APT 1110",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344348",
            "telephone_number": "786-676-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST STE 309",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362114",
            "telephone_number": "305-243-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUZANNAR",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME169743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.