Organization Active NPI

Shoreline Urocare PL

  • Urology Physician
  • Brooksville, FL
National Provider Identifier
1477780153
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SHORELINE UROCARE PL
Practice address
11373 Cortez Blvd Ste 405
Brooksville, FL 34613-5406
Phone
(352) 650-1064
NPI assigned
Jun 19, 2009
Last updated
Nov 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Dr. Omar Hamoui, MDNPI 1609075241
Title
Managing Member
Phone
(352) 650-1064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

11373 Cortez Blvd Ste 405
Brooksville, FL 34613-5406

Mailing address

11373 Cortez Blvd Ste 405
Brooksville, FL 34613-5406
Phone (352) 650-1064

Other identifiers 1

IdentifierTypeStateIssuer
ME 104726OtherFLMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091105000143 FL Part B Supplier - Clinic/Group Practice 1557409984 Receives reassigned benefits from 3 practitioners
Practice locations: Brooksville, FL
O20200520002092 FL DME Supplier - Physician - Urology 1557409984 Practice locations: Brooksville, FL

National Provider Directory

National Provider Directory

Locations

11373 Cortez Blvd
Ste 405
Brooksville, FL 34613
Phone (352) 610-4420

11373 Cortez Blvd
Ste 407
Brooksville, FL 34613
Phone (352) 596-4421

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1477780153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD STE 405",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135406",
            "telephone_number": "352-650-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD STE 405",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135406",
            "telephone_number": "352-650-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE UROCARE PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "HAMOUI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "352-650-1064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME 104726",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.