Individual provider Active NPI

Mohammad Shehadeh, MD

  • Hospitalist Physician
  • Battle, MI
National Provider Identifier
1639223688
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
4301095437 Issued in MI
Practice address
300 North Ave
Battle, MI 49017
Phone
(787) 345-2912
NPI assigned
Jan 23, 2007
Last updated
Sep 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16926 PR
Hospitalist Physician 208M00000X 4301095437 MI Primary

Addresses

Primary practice location

300 North Ave
Battle, MI 49017

Mailing address

PO Box 3313
Vega Alta, PR 00692
Phone (787) 345-2912

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
I20111005000446 FL Practitioner - Internal Medicine 9638259039 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mohammed Touheed MD PAGroup PAC ID 5597860080, 2 clinicians

Practice addresses (Care Compare)

11173 Beach Blvd
Suite 101
Jacksonville, FL 32246-4803
Phone (904) 371-7744

3947 Salisbury Rd
Jacksonville, FL 32216-6115

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16926PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
QMC LLC Hospitalist CurrentSince Aug 12, 2024 Accepting new patients
VMD Primary Providers Central Florida PLLC Internal Medicine CurrentSince Aug 12, 2022 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Aug 15, 2011 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Aug 15, 2011 Accepting new patients
MG H2 LLC Hospitalist CurrentSince Jul 26, 2024 Accepting new patients
Hospitalist Medicine Physicians of Calhoun County, PLLC Internal Medicine Past Accepting new patients
VMD Primary Providers Central Florida PLLC Internal Medicine PastSince May 8, 2022 Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010

3947 Salisbury Rd
Jacksonville, FL 32216
Phone (904) 296-3522

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

6300 Beach Blvd
Jacksonville, FL 32216
Phone (904) 724-9202

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

866 Dunn Ave
#1
Jacksonville, FL 32218

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

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 1

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1639223688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3313",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-345-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NORTH AVE",
            "city": "BATTLE",
            "state": "MI",
            "postal_code": "49017",
            "telephone_number": "787-345-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHADEH",
        "first_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16926",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301095437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.