Individual provider Active NPI

Ashraf Bahlul Muzwagi, MD

  • Psychiatry Physician
  • Gainesville, FL
National Provider Identifier
1619359312
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME149546 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-4206
Phone
(352) 392-3641
NPI assigned
Jun 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X ME149546 FL
Psychiatry Physician 2084P0800X ME149546 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-4206

Mailing address

PO Box 100234
Gainesville, FL 32610-0234
Phone (352) 392-3641

Other practice location 1

4037 NW 86th Ter
Gainesville, FL 32606-9281
Phone (352) 265-4357

Other practice location 2

4101 NW 89th Blvd
Gainesville, FL 32606-3813
Phone (352) 265-5491

Other practice location 3

4197 NW 86th Ter Fl 3
Gainesville, FL 32606-9278
Phone (352) 265-5404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426001498 FL Practitioner - Psychiatry 4082960422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149546FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince May 1, 2023 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince May 1, 2023 Accepting new patients

Locations

4197 NW 86th Ter
Fl 3
Gainesville, FL 32606
Phone (352) 265-5404

4101 NW 89th Blvd
Gainesville, FL 32606
Phone (352) 265-5491

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

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

4037 NW 86th Ter
Gainesville, FL 32606
Phone (352) 265-0820

Interoperability endpoints

  • Direct secure messaging: amuzwagi524717@direct.shands.ufl.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1619359312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100234",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100234",
            "telephone_number": "352-392-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326104206",
            "telephone_number": "352-392-3641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4037 NW 86th Ter",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326069281",
            "country_code": "US",
            "telephone_number": "352-265-4357",
            "fax_number": "352-627-4160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4101 NW 89th Blvd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326063813",
            "country_code": "US",
            "telephone_number": "352-265-5491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4197 NW 86th Ter Fl 3",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326069278",
            "country_code": "US",
            "telephone_number": "352-265-5404",
            "fax_number": "352-265-6270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUZWAGI",
        "first_name": "ASHRAF",
        "middle_name": "BAHLUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME149546",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME149546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.