NPIMap

Individual provider Active NPI

Mohammad Abdullah Dwary, MD

  • Internal Medicine Physician
  • Zephyrhills, FL
National Provider Identifier
1366195240
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ACN1506 Issued in FL
Practice address
6336 Fort King Rd
Zephyrhills, FL 33542-2531
Phone
(727) 322-1054
NPI assigned
Jan 31, 2022
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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 ACN1506 FL Primary

Addresses

Primary practice location

6336 Fort King Rd
Zephyrhills, FL 33542-2531

Mailing address

1839 Central Ave
St Petersburg, FL 33713-8900
Phone (727) 322-1054

Other practice location 1

1839 Central Ave
St Petersburg, FL 33713-8900
Phone (727) 322-1054

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
I20220208000084 NY Practitioner - Family Practice 0446643837
I20230217000901 FL Practitioner - Internal Medicine 0446643837 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Health Care of Pinellas, LLCGroup PAC ID 1658274675, 88 clinicians

Practice addresses (Care Compare)

3011 W de Leon St
Tampa, FL 33609-4001
Phone (929) 503-0566

6336 Fort King Rd
Zephyrhills, FL 33542-2531
Phone (813) 640-0060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1506FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospital Physicians of Florida Inc Multi-Specialty CurrentSince Mar 1, 2024 Accepting new patients
Pathways Clinical Partners, LLC Multi-Specialty CurrentSince Jan 10, 2025 Accepting new patients
Professional Health Care of Pinellas Inc. Multi-Specialty CurrentSince Feb 1, 2023 Accepting new patients
Professional Health Care of Pinellas LLC Multi-Specialty CurrentSince Feb 1, 2023 Accepting new patients

Locations

14306 7th St
Dade City, FL 33523
Phone (352) 567-2238

1031 W Magnolia St
Leesburg, FL 34748
Phone (352) 315-0459

6020 Indiana Ave
New Prt Rchy, FL 34653
Phone (352) 860-0200

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

7101 Mlk Jr St N
St Petersburg, FL 33702
Phone (727) 527-7231

6336 Fort King Rd
Zephyrhills, FL 33542
Phone (813) 640-0060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17462/brand/2/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

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": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1366195240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 FORT KING RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422531",
            "telephone_number": "727-322-1054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1839 Central Ave",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337138900",
            "country_code": "US",
            "telephone_number": "727-322-1054",
            "fax_number": "727-821-7213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWARY",
        "first_name": "MOHAMMAD",
        "middle_name": "ABDULLAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-31",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ACN1506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.