Individual provider Active NPI

Alicia Cherian Mohamed, APRN

  • Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1528603693
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP0031162 Issued in OH
Practice address
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone
(386) 231-1090
Fax
(386) 231-1092
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X APRN11005034 FL
Adult Health Nurse Practitioner 363LA2200X APRN11005034 FL
Registered Nurse 163W00000X RN9331392 FL
Adult Health Nurse Practitioner 363LA2200X APRN.CNP0031162 OH
Nurse Practitioner 363L00000X APRN.CNP0031162 OH Primary
Registered Nurse 163W00000X RN9331392 OH

Addresses

Primary practice location

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167

Mailing address

770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179

Other practice location 1

30575 Bainbridge Rd
Solon, OH 44139-2221
Phone (440) 542-5000

Other practice location 2

7236 Stonerock Cir
Orlando, FL 32819-8000
Phone (321) 841-6444

Other identifiers 1

IdentifierTypeStateIssuer
104832900MedicaidFL

Other names 1

  • Alicia C. Mohamed Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL sunriseepiccernerallscripts Health Information Exchange (HIE)
Other URL Allscripts Health Information Exchange (HIE) University hospitals

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191216001832 FL Practitioner - Nurse Practitioner 6709210214 Reassigns benefits to 2 organizations
I20220622003203 OH Practitioner - Nurse Practitioner 6709210214 Reassigns benefits to 5 organizations
I20250912001761 VA Practitioner - Nurse Practitioner 6709210214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

29000 Ctr Ridge Rd
Westlake, OH 44145-5219
Phone (440) 835-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9331392FLMDRegistered Nurse
RN9331392OHMDRegistered Nurse
APRN.CNP0031162OHMDNurse Practitioner
APRN11005034FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Regional Health System Single Specialty CurrentSince Oct 14, 2023 Accepting new patients
Southeastern Intensivist Services PC Single Specialty CurrentSince Aug 25, 2025 Accepting new patients
Hni Medical Services of Ohio, LLC Single Specialty CurrentSince May 25, 2022 Accepting new patients
Community Hospitalist, LLC Single Specialty CurrentSince Dec 1, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2019 Accepting new patients
University Hospitals St. John Medical Center Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
University Hospitals Medical Group Inc Single Specialty CurrentSince Apr 1, 2023 Accepting new patients
Hni Emergency Services of Ohio, LLC Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Orlando Health Medical Group Inc Single Specialty CurrentSince Dec 1, 2019 Accepting new patients
Hospital Medicine Services of Ohio, Inc. Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
North East Ohio Group Practice LLC Single Specialty CurrentSince Sep 21, 2024 Accepting new patients
Florida Hospital Healthcare Partners, Inc Single Specialty PastSince Nov 8, 2025 Accepting new patients

Locations

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

7236 Stonerock Cir
Orlando, FL 32819
Phone (407) 354-1202

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

1000 Auburn Dr
Beachwood, OH 44122
Phone (216) 285-4125

25501 Chagrin Blvd
Beachwood, OH 44122
Phone (216) 545-4800

11100 Euclid Ave
Cleveland Heights, OH 44106

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

30575 Bainbridge Rd
Solon, OH 44139

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

Interoperability endpoints

  • Direct secure messaging: amohamed28316@ehrdirect.uhhospitals.org

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1528603693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W GRANADA BLVD STE 101",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEMORIAL MEDICAL PKWY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175167",
            "telephone_number": "386-231-1090",
            "fax_number": "386-231-1092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30575 Bainbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Solon",
            "state": "OH",
            "postal_code": "441392221",
            "country_code": "US",
            "telephone_number": "440-542-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7236 Stonerock Cir",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328198000",
            "country_code": "US",
            "telephone_number": "321-841-6444",
            "fax_number": "407-650-1307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "ALICIA",
        "middle_name": "CHERIAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11005034",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11005034",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9331392",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP0031162",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP0031162",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN9331392",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104832900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sunriseepiccernerallscripts",
            "affiliation": "N",
            "endpointDescription": "eMAR , coding and billing",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patient health information",
            "address_1": "7236 Stonerock Cir",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328198000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Allscripts",
            "affiliation": "Y",
            "endpointDescription": "eMAR,coding,billing",
            "affiliationName": "University hospitals",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patient health information",
            "address_1": "30575 Bainbridge Rd",
            "city": "Solon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441392221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "MOHAMED",
            "middle_name": "C.",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.