NPIMap

Individual provider Active NPI

Mohammed Ezuddin, MD

  • Vascular & Interventional Radiology Physician
  • North Miami Beach, FL
National Provider Identifier
1538588207
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A192219 Issued in CA
Practice address
160 NW 170TH St
North Miami Beach, FL 33169-5521
Phone
(305) 651-1100
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME130108 FL
Diagnostic Radiology Physician 2085R0202X T6231 TX
Vascular & Interventional Radiology Physician 2085R0204X A192219 CA Primary
Vascular & Interventional Radiology Physician 2085R0204X T6231 TX

Addresses

Primary practice location

160 NW 170TH St
North Miami Beach, FL 33169-5521

Mailing address

4581 Weston Road
Box 327
Weston, FL 33331-3141
Phone (305) 654-5221

Other practice location 1

221 NW 156th Ln
Pembroke Pines, FL 33028-1502
Phone (786) 379-5152

Other practice location 2

2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-6565

Other practice location 3

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240209003704 CA Practitioner - Diagnostic Radiology 3577985886 Reassigns benefits to 1 organization
I20240213002861 FL Practitioner - Diagnostic Radiology 3577985886 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Miami, LM Miller School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians
Apexx Radiology of South Florida LLPGroup PAC ID 6103129564, 15 clinicians
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

Lighthouse Point, FL 33064
Phone (916) 434-7600

160 NW 170 St
North Miami Beach, FL 33169-5521
Phone (305) 651-1100

1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone (530) 332-4470

1600 SW Archer
Gainesville, FL 32610-3003

1600 SW Archer Rd
Gainesville, FL 32610-3003

1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535

2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

3450 Hull Rd
Gainesville, FL 32607-4144

3450 SW Hull Rd
Uf Health Pediatric Urology Osmi
Gainesville, FL 32607-4144
Phone (352) 265-8240

3480 Hull Rd
Gainesville, FL 32607-4144
Phone (352) 338-7100

6201 W Newberry Rd
Uf Health the Oaks
Gainesville, FL 32605-4305
Phone (352) 265-9465

Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince Dec 5, 2023 Accepting new patients
Apexx Radiology of South Florida, LLP Diagnostic Radiology CurrentSince Dec 4, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jan 19, 2024 Accepting new patients
Enloe Medical Center CurrentSince Dec 5, 2023 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jan 19, 2024 Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

340 W East Ave
Chico, CA 95926
Phone (530) 332-6138

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6325

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

4581 Weston Rd
Weston, FL 33331
Phone (954) 300-4094

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mezuddin570560@direct.froedtert.com
  • Direct secure messaging: mezuddin661919@direct.shands.ufl.edu
  • Direct secure messaging: mezuddin524637@direct.franciscanalliance.org

Organizations & group practices 8

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 35

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1538588207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4581 WESTON ROAD",
            "address_2": "BOX 327",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313141",
            "telephone_number": "305-654-5221",
            "fax_number": "305-654-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 170TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695521",
            "telephone_number": "305-651-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 NW 156th Ln",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281502",
            "country_code": "US",
            "telephone_number": "786-379-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Pease St",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508307",
            "country_code": "US",
            "telephone_number": "956-389-6565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324461917",
            "country_code": "US",
            "telephone_number": "850-526-2200",
            "fax_number": "850-718-2844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZUDDIN",
        "first_name": "MOHAMMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME130108",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T6231",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A192219",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "T6231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.