NPIMap

Individual provider Active NPI

Yasmin Mohiuddin, DO

  • Family Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1336529650
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS14302 Issued in FL
Practice address
392 Rinehart Rd Ste 3050
Lake Mary, FL 32746-2576
Phone
(321) 842-2800
Fax
(321) 843-8777
NPI assigned
Jun 2, 2015
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X OS14302 FL Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X OS14302 FL

Addresses

Primary practice location

392 Rinehart Rd Ste 3050
Lake Mary, FL 32746-2576

Mailing address

392 Rinehart Rd Ste 3050
Lake Mary, FL 32746-2576
Phone (321) 842-2800

Other practice location 1

1600 SW Archer Rd
Gainesville, FL 32610-8202
Phone (813) 480-1323

Other practice location 2

76 Underwood St Ste 200
Orlando, FL 32806-1110
Phone (321) 841-2800

Other identifiers 1

IdentifierTypeStateIssuer
104128300MedicaidFL

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
I20190930002990 FL Practitioner - Geriatric MedicinePractitioner - Family Practice 5496015109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

392 Rinehart Rd
Suite 3090
Lake Mary, FL 32746-2576
Phone (321) 841-2243

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Multi-Specialty CurrentSince Sep 9, 2019 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 9, 2019 Accepting new patients
Orlando Health Medical Group Inc Multi-Specialty CurrentSince Feb 1, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Multi-Specialty Past Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

3009 SW Williston Rd
Gainesville, FL 32608
Phone (352) 294-5400

392 Rinehart Rd
Ste 3050
Lake Mary, FL 32746
Phone (321) 842-2363

392 Rinehart Rd
Ste 3090
Lake Mary, FL 32746
Phone (321) 841-2243

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

76 Underwood St
Ste 200
Orlando, FL 32806
Phone (321) 841-2800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1336529650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 RINEHART RD STE 3050",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462576",
            "telephone_number": "321-842-2800",
            "fax_number": "321-843-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 RINEHART RD STE 3050",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462576",
            "telephone_number": "321-842-2800",
            "fax_number": "321-843-8777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326108202",
            "country_code": "US",
            "telephone_number": "813-480-1323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "76 Underwood St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "321-841-2800",
            "fax_number": "321-843-8777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHIUDDIN",
        "first_name": "YASMIN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14302",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "OS14302",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104128300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.