Organization Active NPI

Mohamad El Kassem LLC

  • Nephrology Physician
  • Parkland, FL
National Provider Identifier
1548732134
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MOHAMAD EL KASSEM LLC
Practice address
5951 NW 65TH CT
Parkland, FL 33067-4500
Phone
(954) 778-4322
NPI assigned
Dec 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Mohamad El Kassem, MDNPI 1699009761
Title
Owner
Phone
(954) 778-4322

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
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

5951 NW 65TH CT
Parkland, FL 33067-4500

Mailing address

5951 NW 65TH CT
Parkland, FL 33067-4500
Phone (954) 778-4322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190531000080 FL Part B Supplier - Clinic/Group Practice 6901139211 Receives reassigned benefits from 3 practitioners
Practice locations: Coral Springs, FL; Tamarac, FL; Pompano Beach, FL; Plantation, FL; Margate, FL; Lauderdale Lakes, FL; Fort Lauderdale, FL; Deerfield Beach, FL

National Provider Directory

National Provider Directory

Locations

3508 N University Dr
Sunrise, FL 33351
Phone (954) 748-2251

8201 N University Dr
Tamarac, FL 33321
Phone (516) 589-9386

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1548732134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5951 NW 65TH CT",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330674500",
            "telephone_number": "954-778-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5951 NW 65TH CT",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330674500",
            "telephone_number": "954-778-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMAD EL KASSEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "EL KASSEM",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-778-4322",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.