Individual provider Active NPI

Mohamed Mahmoud Nagi, MD

  • Vascular Surgery Physician
  • Hudson, FL
National Provider Identifier
1649616152
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME157156 Issued in FL
Practice address
14100 Fivay Rd Ste 300
Hudson, FL 34667-7160
Phone
(727) 992-7036
NPI assigned
May 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME157156 FL Primary

Addresses

Primary practice location

14100 Fivay Rd Ste 300
Hudson, FL 34667-7160

Mailing address

14100 Fivay Rd Ste 300
Hudson, FL 34667-7160
Phone (727) 992-7036

Other practice location 1

3310 Waterman Way
Tavares, FL 32778-5250
Phone (352) 385-3022

Other practice location 2

410 Celebration Pl Ste 302
Celebration, FL 34747-5435
Phone (407) 303-4080

Other practice location 3

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6937

Other practice location 4

1725 W Harrison St Ste 1156
Chicago, IL 60612-3852
Phone (312) 563-1593

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
I20220912000278 FL Practitioner - Vascular Surgery 4789003302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Tampa Bay Physician Specialists LLCGroup PAC ID 2961637715, 33 clinicians

Practice addresses (Care Compare)

14100 Fivay Rd
Suite 300
Hudson, FL 34667-7160
Phone (352) 592-7319

Hospital & facility affiliations

  • HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)26
Removal of tissue11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME157156FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Oct 10, 2022 Accepting new patients
Florida Hospital Medical Group Inc Surgery CurrentSince Oct 10, 2022 Accepting new patients
Greater Tampa Bay Physician Specialists, LLC Surgery CurrentSince Jun 1, 2024 Accepting new patients

Locations

14100 Fivay Rd
Ste 300
Hudson, FL 34667
Phone (727) 372-4417

410 Celebration Pl
Ste 302
Kissimmee, FL 34747
Phone (407) 303-3824

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

1749 David Walker Dr
Tavares, FL 32778
Phone (352) 742-1760

3310 Waterman Way
Tavares, FL 32778
Phone (352) 343-1216

2318 Cypress Cv
Ste 101
Wesley Chapel, FL 33544
Phone (813) 788-5569

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mohamed.nagi@hca5.eclinicaldirectplus.com

Organizations & group practices 3

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.

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": "1368316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1649616152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD STE 300",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677160",
            "telephone_number": "727-992-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD STE 300",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677160",
            "telephone_number": "727-992-7036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3310 Waterman Way",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327785250",
            "country_code": "US",
            "telephone_number": "352-385-3022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 Celebration Pl Ste 302",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347475435",
            "country_code": "US",
            "telephone_number": "407-303-4080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "French Camp",
            "state": "CA",
            "postal_code": "952319693",
            "country_code": "US",
            "telephone_number": "209-468-6937",
            "fax_number": "209-468-7042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 W Harrison St Ste 1156",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123852",
            "country_code": "US",
            "telephone_number": "312-563-1593",
            "fax_number": "209-468-7042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGI",
        "first_name": "MOHAMED",
        "middle_name": "MAHMOUD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-12",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME157156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.