NPIMap

Individual provider Active NPI

Waguih El Masry, M.D

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1336103167
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME81930 Issued in FL
Practice address
250 2ND St E
Suite 3 B
Bradenton, FL 34208-1029
Phone
(941) 746-4151
Fax
(941) 746-4345
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME81930 FL Primary

Addresses

Primary practice location

250 2ND St E
Suite 3 B
Bradenton, FL 34208-1029

Mailing address

250 2ND St E
Suite 3 B
Bradenton, FL 34208-1029
Phone (941) 746-4151

Other identifiers 4

IdentifierTypeStateIssuer
200747230OtherFLTAX ID
58669OtherFLBCBS
261190200MedicaidFL
P00139938OtherFLMEDICARE RR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701001589 FL Practitioner - Internal Medicine 6305823881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nokomis Physical Therapy LLCGroup PAC ID 8628240843, 104 clinicians

Practice addresses (Care Compare)

109 Laurel Rd E
Nokomis, FL 34275-5233
Phone (941) 375-8734

250 2ND St E
Suite 3B
Bradenton, FL 34208-1027
Phone (941) 746-4151

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waguih El Masry MD PA Internal Medicine CurrentSince Apr 1, 2004 Accepting new patients
Hospitalist Group of Manatee County, LLC Internal Medicine CurrentSince Feb 7, 2023 Accepting new patients
Premier Medical Associates LLC Internal Medicine Past Accepting new patients
Lakeside TLF, LLC Past Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Past Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients

Locations

250 2nd St E
Ste 3B
Bradenton, FL 34208
Phone (941) 366-7475

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: welmasry@wemmp-fl.direct.office.nextgen.com

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1336103167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 2ND ST E",
            "address_2": "SUITE 3 B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081029",
            "telephone_number": "941-746-4151",
            "fax_number": "941-746-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 2ND ST E",
            "address_2": "SUITE 3 B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081029",
            "telephone_number": "941-746-4151",
            "fax_number": "941-746-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL MASRY",
        "first_name": "WAGUIH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "200747230",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58669",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261190200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00139938",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.