Individual provider Active NPI

Jameel Sair Mohammed, MD

  • Physical Medicine & Rehabilitation Physician
  • Lady Lake, FL
National Provider Identifier
1629530621
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME161825 Issued in FL
Practice address
733 Highway 466
Lady Lake, FL 32159-6340
Phone
(407) 258-3550
Fax
(239) 204-3000
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME161825 FL Primary

Addresses

Primary practice location

733 Highway 466
Lady Lake, FL 32159-6340

Mailing address

980 Almarida Dr
Campbell, CA 95008-0104
Phone (669) 256-6515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230801004561 FL Practitioner - Physical Medicine and Rehabilitation 5799146189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
64.42 of 100Reported as group
Quality
38.39
Improvement activities
40
Cost
63.53

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
65.57
Promoting interoperability
99
Improvement activities
40
Cost
78.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME161825FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simedhealth LLC Physical Medicine & Rehabilitation CurrentSince Aug 14, 2023 Accepting new patients
Simed Health LLC CurrentSince Aug 14, 2023 Accepting new patients
Wellness by Physicians, Inc. Physical Medicine & Rehabilitation CurrentSince Feb 19, 2024 Accepting new patients
Wellness by Physicians, Inc. Physical Medicine & Rehabilitation CurrentSince Feb 19, 2024 Accepting new patients
Physicians for Quality Healthcare, Inc. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

24870 S Tamiami Trl
Ste 3
Bonita Springs, FL 34134
Phone (239) 676-3663

6150 Diamond Centre Ct
Bldg 100
Fort Myers, FL 33912
Phone (239) 768-6896

4881 NW 8th Ave
Ste 2
Gainesville, FL 32605
Phone (352) 373-6338

4343 Newberry Rd
Gainesville, FL 32607
Phone (352) 224-2200

773 Highway 466
Lady Lake, FL 32159
Phone (321) 274-1864

733 Highway 466
Lady Lake, FL 32159
Phone (352) 205-7702

5668 Strand Ct
Naples, FL 34110
Phone (239) 590-3883

4064 E Sr 44
Ste A
Wildwood, FL 34785
Phone (352) 404-6919

Organizations & group practices 5

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1629530621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 ALMARIDA DR",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080104",
            "telephone_number": "669-256-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 HIGHWAY 466",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596340",
            "telephone_number": "407-258-3550",
            "fax_number": "239-204-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "JAMEEL",
        "middle_name": "SAIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME161825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.