Individual provider Active NPI

Abeer Moustafa Elmohandes, M.D.

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1366753527
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME113821 Issued in FL
Practice address
2888 Mahan Dr Ste 6
Tallahassee, FL 32308
Phone
(850) 942-2233
Fax
(850) 942-1048
NPI assigned
Jun 23, 2010
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME113821 FL Primary

Addresses

Primary practice location

2888 Mahan Dr Ste 6
Tallahassee, FL 32308

Mailing address

2888 Mahan Dr Ste 6
Tallahassee, FL 32308-5465
Phone (850) 942-2233

Other practice location 1

178 LaSalle Lefall Dr
Quincy, FL 32351-5278
Phone (850) 875-3600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130815000326 FL Practitioner - Family Practice 0143462473 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME113821FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince Dec 23, 2019 Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince Dec 23, 2019 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients

Locations

178 Lefall Dr
Quincy, FL 32351
Phone (850) 875-3600

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

2888 Mahan Dr
Ste 6
Tallahassee, FL 32308
Phone (850) 671-4800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1366753527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 MAHAN DR STE 6",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085465",
            "telephone_number": "850-942-2233",
            "fax_number": "850-942-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 MAHAN DR STE 6",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-942-2233",
            "fax_number": "850-942-1048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 LaSalle Lefall Dr",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "FL",
            "postal_code": "323515278",
            "country_code": "US",
            "telephone_number": "850-875-3600",
            "fax_number": "850-627-7277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMOHANDES",
        "first_name": "ABEER",
        "middle_name": "MOUSTAFA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME113821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.