Active NPI
Fawwaz Jaffer Mohiuddin, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- ME108788
- Practice address
- 8285 W Sunrise Blvd
Plantation, FL 33322-5403 - Phone
- (954) 730-5030
- Fax
- (954) 289-6502
- NPI assigned
- Aug 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 125-049640 | IL | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ME108788 | FL | Primary |
Addresses
Primary practice location
8285 W Sunrise Blvd
Plantation, FL 33322-5403
Mailing address
PO Box 978766
Dallas, TX 75397-8766
Phone (954) 730-5030
Other practice location 1
1971 SW 172nd Ave # 3128
Miramar, FL 33029-5592
Phone (954) 730-5030
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1601 Clint Moore Rd
Suite 125
Boca Raton, FL 33487-5714
Phone (561) 939-0800
1901 SW 172 Ave
Miramar, FL 33029-5592
Phone (954) 538-5000
1971 SW 172ND Ave
Suite 3128
Miramar, FL 33029-5592
Phone (954) 730-5030
5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503
Phone (954) 735-6000
660 Glades Rd
Suite 360
Boca Raton, FL 33431-6469
Phone (561) 391-5515
8285 W Sunrise Blvd
Plantation, FL 33322-5403
Phone (954) 730-5030
Hospital & facility affiliations
- Memorial Hospital Miramar
- North Shore Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-049640 | IL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenet Florida Physician Services, LLC | Current | Accepting new patients | |
| Ortho Florida, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Tenet Florida Physician Services LLC | Current | Accepting new patients | |
| Ortho Florida, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733
660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792
2307 W Broward Blvd
Ste 200
Ft Lauderdale, FL 33312
Phone (954) 792-1010
3001 NW 49th Ave
Ste 301
Lauderdale Lakes, FL 33313
Phone (954) 497-1898
3001 NW 49th Ave
Ste 104
Lauderdale Lakes, FL 33313
Phone (954) 735-6333
1971 SW 172nd Ave
Ste 3128
Miramar, FL 33029
Phone (954) 730-5030
12596 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 437-4000
8285 W Sunrise Blvd
Plantation, FL 33322
Phone (954) 730-5030
1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231
Organizations & group practices 4
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.
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
-
- Orthopaedic Surgery Physician
- Ft Lauderdale, FL
- NPI 1225833858
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lauderdale Lakes, FL
- NPI 1184440828
-
- General Acute Care Hospital
- Miami, FL
- NPI 1194552141
-
- General Acute Care Hospital
- Miramar, FL
- NPI 1326021197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1447416003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 978766",
"city": "DALLAS",
"state": "TX",
"postal_code": "753978766",
"telephone_number": "954-730-5030",
"fax_number": "954-289-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8285 W SUNRISE BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333225403",
"telephone_number": "954-730-5030",
"fax_number": "954-289-6502"
}
],
"practiceLocations": [
{
"address_1": "1971 SW 172nd Ave # 3128",
"address_purpose": "LOCATION",
"city": "Miramar",
"state": "FL",
"postal_code": "330295592",
"country_code": "US",
"telephone_number": "954-730-5030",
"fax_number": "954-289-6502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHIUDDIN",
"first_name": "FAWWAZ",
"middle_name": "JAFFER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-04",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "125-049640",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "FL",
"license": "ME108788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.