Mazen Daoud, MD

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

ME81133 Issued in FL

Practice address

12580 University Dr
Suite 200
Fort Myers, FL 33907-5686

Phone

(239) 274-0005

Fax

(239) 274-8185

NPI assigned

Apr 25, 2006

Last updated

Feb 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Dermatology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Myers Dermatopathology PAGroup PAC ID 8921055179, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

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.

• Fort Myers Dermatopathology PA

  • Dermatopathology Physician
  • Fort Myers, FL
  • NPI 1013973320
  Medicare reassignment Care Compare group NPD Authorized official
• Fort Myers Dermatopathology

  • Procedural Dermatology Physician
  • Fort Myers, FL
  • NPI 1083829337
  NPD (past) Authorized official
• Fort Myers Dermatopathology

  • Procedural Dermatology Physician
  • Cape Coral, FL
  • NPI 1215142567
  NPD (past) Authorized official
• Fort Myers Dermatopathology

  • Procedural Dermatology Physician
  • Estero, FL
  • NPI 1366657629
  NPD (past) Authorized official
• Fort Myers Dermatopathology

  • Procedural Dermatology Physician
  • Bonita Springs, FL
  • NPI 1831304500
  NPD (past) Authorized official

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

• Lee Health System Inc

  dba Cape Coral Hospital

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1316903560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12580 UNIVERSITY DR",
            "address_2": "SUITE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075686",
            "telephone_number": "239-274-0005",
            "fax_number": "239-274-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12580 UNIVERSITY DR",
            "address_2": "SUITE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075686",
            "telephone_number": "239-274-0005",
            "fax_number": "239-274-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAOUD",
        "first_name": "MAZEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME81133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE PROVIDER #",
            "identifier": "202599",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED PROVIDER #",
            "identifier": "2821758",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "2821758",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER #",
            "identifier": "70017117",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROVIDE",
            "identifier": "03-00804",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "06492",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Elizabeth Dannecker, OTR/L
• Joyce Dannemiller, CRNA
• Leslie Rae Danner, ED.S
• Michael D Danzig, MD
• Nhan Thi Thanh Dao
• Rikendo Darius, CAA
• Chelsea Darling, MA, NCC, ATR-P
• Joy Ruth Darnell, RPH
• Daron L Scherr MD PA
• Daron Scherr MD (The Sleep Institute)

• Dermatopathology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Dermatopathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.