Individual provider Active NPI

Norina Mohd Nordin, M.D.

  • Vascular Surgery Physician
  • Leesburg, FL
National Provider Identifier
1356584973
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME163560 Issued in FL
Practice address
511 Medical Plaza Dr Ste 101
Leesburg, FL 34748-7328
Phone
(352) 728-6808
Fax
(352) 728-1743
NPI assigned
Apr 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 154507 OR
Vascular Surgery Physician 2086S0129X ME163560 FL Primary

Addresses

Primary practice location

511 Medical Plaza Dr Ste 101
Leesburg, FL 34748-7328

Mailing address

511 Medical Plaza Dr Ste 101
Leesburg, FL 34748-7328
Phone (352) 728-6808

Other practice location 1

9701 SW Barnes Rd Ste 140
Portland, OR 97225-6688
Phone (503) 292-9565

Other identifiers 1

IdentifierTypeStateIssuer
119298500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111010000177 OR Practitioner - Vascular Surgery 2466624721
I20231030003928 FL Practitioner - Vascular Surgery 2466624721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
McGill University, Faculty of Medicine, 2000
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)

511 Medical Plaza Dr
Suite 101
Leesburg, FL 34748-7328
Phone (352) 728-6808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)33
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154507ORMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients

Locations

511 Medical Plaza Dr
Ste 101
Leesburg, FL 34748

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

1560 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 750-5000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: nmohdnordin641398@direct.shands.ufl.edu

Organizations & group practices 2

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 5

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": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1356584973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MEDICAL PLAZA DR STE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487328",
            "telephone_number": "352-728-6808",
            "fax_number": "352-728-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MEDICAL PLAZA DR STE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487328",
            "telephone_number": "352-728-6808",
            "fax_number": "352-728-1743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9701 SW Barnes Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256688",
            "country_code": "US",
            "telephone_number": "503-292-9565",
            "fax_number": "503-292-9478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHD NORDIN",
        "first_name": "NORINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OR",
            "license": "154507",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME163560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119298500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.