Mostafa Macida, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 109449 Issued in FL

Practice address

28279 Hwy 27
Dundee, FL 33838-4270

Phone

(863) 438-7920

Fax

(863) 438-7919

NPI assigned

Nov 5, 2008

Last updated

Jun 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Karma Healthcare LLC

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1184999328
  Medicare reassignment
• Primary Care of Dundee

  • Primary Care Clinic/Center
  • Dundee, FL
  • NPI 1548523467
  NPD (past) Authorized official
• Karma Healthcare LLC

  dba Winter Haven Pharmacy

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1477854164
  NPD

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1386898377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47514",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336460113",
            "telephone_number": "941-284-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28279 HWY 27",
            "city": "DUNDEE",
            "state": "FL",
            "postal_code": "338384270",
            "telephone_number": "863-438-7920",
            "fax_number": "863-438-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIDA",
        "first_name": "MOSTAFA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-05",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 109449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infinity Care LLC
• Latreese Jackson
• Randy Lee Johnson
• Kevin S Burkevich LLC (Laserpedics)
• Abigail B Liptak
• Martita Marcano Perez, M.D.
• Maurice David Marholin, D.O.
• Rebecca Marie McCarthy, LMHC
• Jennifer Elizabeth McGrath, PTA
• Natoya McLean-Ramos, DDS

• Internal Medicine Physician in Dundee, FL
• Providers in Dundee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.