NPIMap

Individual provider Active NPI

Abdallah Al Moussa, MD

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1497107759
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME158865 Issued in FL
Practice address
8991 Daniels Center Dr Ste 105
Fort Myers, FL 33912-0317
Phone
(239) 440-6456
Fax
(239) 236-0337
NPI assigned
Jul 11, 2016
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME158865 FL Primary
Internal Medicine Physician 207R00000X 125.068231 IL

Addresses

Primary practice location

8991 Daniels Center Dr Ste 105
Fort Myers, FL 33912-0317

Mailing address

PO Box 9279
Jupiter, FL 33468-9279
Phone (239) 440-6456

Other identifiers 1

IdentifierTypeStateIssuer
ME158865OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221024002308 FL Practitioner - Internal Medicine 1850685520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Gulf Shore Internal Medicine, P.a.Group PAC ID 5294746129, 8 clinicians

Practice addresses (Care Compare)

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

9371 Cypress Lake Dr
Suite 12
Fort Myers, FL 33919-4995
Phone 23944064566

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.068231ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Oct 19, 2022 Accepting new patients
Gulf Shore Internal Medicine, P.a. Internal Medicine CurrentSince Mar 28, 2023 Accepting new patients
Nchmd Inc CurrentSince Oct 19, 2022 Accepting new patients

Locations

8991 Daniels Center Dr
Ste 105
Fort Myers, FL 33912
Phone (239) 440-6456

9371 Cypress Lake Dr
Ste 12
Fort Myers, FL 33919
Phone (239) 440-6456

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: aalmoussa53972@nchhealthcaresystem.direct-ci.com
  • Direct secure messaging: abdallah.almoussa@direct.genesishealth.com

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.

Hospital & facility affiliations 4

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1497107759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9279",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334689279",
            "telephone_number": "239-440-6456",
            "fax_number": "239-236-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8991 DANIELS CENTER DR STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120317",
            "telephone_number": "239-440-6456",
            "fax_number": "239-236-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL MOUSSA",
        "first_name": "ABDALLAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME158865",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.068231",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME158865",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.