NPIMap

Individual provider Active NPI

Mujeeb Rawoof

  • Neuroradiology Physician
  • Leesburg, FL
National Provider Identifier
1508128760
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
ME135683 Issued in FL
Practice address
801 E Dixie Ave Ste 104
Leesburg, FL 34748
Phone
(352) 787-5858
NPI assigned
Jun 13, 2012
Last updated
Jun 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X ME135683 FL Primary

Addresses

Primary practice location

801 E Dixie Ave Ste 104
Leesburg, FL 34748

Mailing address

900 Winderley PL
Ste 2100
Maitland, FL 32751-4191
Phone (407) 200-1606

Other practice location 1

1400 N US Highway 441 Ste 510
The Villages, FL 32159-8983
Phone (352) 787-5858

Other practice location 2

8801 SE 165th Mulberry Ln
The Villages, FL 32162-5887
Phone (352) 787-5858

Other practice location 3

340 Heald Way Ste 140
The Villages, FL 32163-6000
Phone (352) 787-5858

Other practice location 4

910 Old Camp Rd Ste 120
The Villages, FL 32162-5605
Phone (352) 787-5858

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
I20180614000368 FL Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 1456583269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians

Practice addresses (Care Compare)

1480 W Orange Blossom TRL
Adventhealth Imaging Apopka
Apopka, FL 32712-2637
Phone (407) 200-5440

1551 Future Way
Adventhealth Imaging
Celebration, FL 34747-4489
Phone (407) 303-4041

1919 E Hwy 50 101
Adventhealth Imaging Center Clermon
Clermont, FL 34711-1975
Phone (352) 717-3738

2200 Fowler Grove Blvd
Suite 60
Winter Garden, FL 34787-5597
Phone (407) 200-0538

235 E Princeton St
Suite 100
Orlando, FL 32804-5554
Phone (407) 303-1414

2488 E Irlo Bronson Memorial Hwy
Ahi Partin Settlement
Kissimmee, FL 34744-4948
Phone (407) 200-5440

25 S Terry Ave
Suite 220
Orlando, FL 32805-1843
Phone (407) 641-2446

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

661 E Altamonte Dr
Suite 130
Altamonte Springs, FL 32701-5102
Phone (407) 303-2155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME135683FLMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Medical Imaging and Breast Center at the Villages LLC CurrentSince Jul 25, 2021 Accepting new patients
Florida Radiology Imaging at Lake Mary LLC Neuroradiology CurrentSince Jun 1, 2020 Accepting new patients
Lake Medical Imaging and Breast Center at the Villages LLC PastSince Jun 27, 2021 Accepting new patients
Lake Medical Imaging and Breast Center at the Villages LLC PastSince Jun 27, 2021 Accepting new patients

Locations

734 N 3rd St
Ste 115
Leesburg, FL 34748
Phone (352) 365-2583

900 Winderley Pl
Ste 2100
Maitland, FL 32751
Phone (407) 200-1606

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

910 Old Camp Rd
Ste 120
The Villages, FL 32162

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mrawoof58342@adventhealth.direct-ci.com

Organizations & group practices 6

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 8

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1508128760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WINDERLEY PL",
            "address_2": "STE 2100",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514191",
            "telephone_number": "407-200-1606",
            "fax_number": "407-303-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E DIXIE AVE STE 104",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34748",
            "telephone_number": "352-787-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N US Highway 441 Ste 510",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321598983",
            "country_code": "US",
            "telephone_number": "352-787-5858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8801 SE 165th Mulberry Ln",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321625887",
            "country_code": "US",
            "telephone_number": "352-787-5858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Heald Way Ste 140",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321636000",
            "country_code": "US",
            "telephone_number": "352-787-5858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 Old Camp Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321625605",
            "country_code": "US",
            "telephone_number": "352-787-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAWOOF",
        "first_name": "MUJEEB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME135683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.