NPIMap

Individual provider Active NPI

Mohammad A Joud, M.D.

  • Internal Medicine Physician
  • Brooksville, FL
National Provider Identifier
1578513313
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME78544 Issued in FL
Practice address
12900 Cortez Blvd
Suite 202
Brooksville, FL 34613-6828
Phone
(352) 597-8844
Fax
(352) 597-8831
NPI assigned
May 11, 2006
Last updated
Jan 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME78544 FL Primary

Addresses

Primary practice location

12900 Cortez Blvd
Suite 202
Brooksville, FL 34613-6828

Mailing address

12900 Cortez Blvd
Suite 202
Brooksville, FL 34613-6828
Phone (352) 597-8844

Other identifiers 1

IdentifierTypeStateIssuer
258942700MedicaidFL

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
I20041014000554 FL Practitioner - Internal Medicine 8022078138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

12900 Cortez Blvd
Suite 202
Brooksville, FL 34613-4898
Phone (352) 597-8844

6280 Central Ave
Suite H2
St Petersburg, FL 33707-1429
Phone (800) 699-9395

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
ME78544FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hernando Medical Inc Internal Medicine CurrentSince Jan 1, 2004 Accepting new patients
Tampa General Hospital Current Accepting new patients

Locations

12900 Cortez Blvd
Ste 202
Brooksville, FL 34613
Phone (352) 597-8844

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDHDAA/Endpoint/BDHDAA
  • Direct secure messaging: mjoud296103@direct.tgh.org

Organizations & group practices 2

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 11

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1578513313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 CORTEZ BLVD",
            "address_2": "SUITE 202",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136828",
            "telephone_number": "352-597-8844",
            "fax_number": "352-597-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 CORTEZ BLVD",
            "address_2": "SUITE 202",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136828",
            "telephone_number": "352-597-8844",
            "fax_number": "352-597-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUD",
        "first_name": "MOHAMMAD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258942700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.