Individual provider Active NPI

Saiyed Aonali Mohib, MD

  • Cardiovascular Disease Physician
  • Davenport, FL
National Provider Identifier
1669486379
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME105262 Issued in FL
Practice address
40124 Highway 27 Ste 202
Davenport, FL 33837-5905
Phone
(863) 422-5331
Fax
(863) 422-5336
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME105262 FL Primary
Cardiovascular Disease Physician 207RC0000X 036109212 IL

Addresses

Primary practice location

40124 Highway 27 Ste 202
Davenport, FL 33837-5905

Mailing address

1417 Lakeland Hills Blvd
Suite 106
Lakeland, FL 33805-3200
Phone (863) 682-8401

Other practice location 1

410 Lionel Way
Davenport, FL 33837-7809
Phone (352) 432-7200

Other identifiers 2

IdentifierTypeStateIssuer
004729800MedicaidFL
036109212MedicaidIL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120502000728 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5698714921 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Heart and Vascular PLCGroup PAC ID 8729184379, 13 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

1609 SW 17TH St
Suite 100
Ocala, FL 34471-1285
Phone (352) 401-9888

Hospital & facility affiliations

  • Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099
  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
84.43 of 100Reported as group
Quality
100
Improvement activities
40
Cost
35.45

Merit-based Incentive Payment System (MIPS)

Final score
96.3 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036109212ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ankem Ravindra MD PA Cardiovascular Disease CurrentSince Dec 1, 2025 Accepting new patients
Marion Heart Associates, PA Cardiovascular Disease CurrentSince Dec 1, 2025 Accepting new patients
Shreeven LLC CurrentSince Jun 14, 2021 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Dec 27, 2024 Accepting new patients
Naeem a Khan MD SC Cardiovascular Disease PastSince Jul 1, 2005 Accepting new patients
Florida Heart & Vascular Specialists PA Cardiovascular Disease PastSince Jan 7, 2012 Accepting new patients
Space Coast Cardiology Consultants Cardiovascular Disease Past Accepting new patients

Locations

101 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (352) 362-4223

40124 Highway 27
Ste 202
Davenport, FL 33837
Phone (863) 422-5331

141 Victoria Commons Blvd
Deland, FL 32724
Phone (386) 427-4544

1211 SW Bascom Norris Dr
Lake City, FL 32025
Phone (386) 326-3633

1255 State Road 60 E
Ste 600
Lake Wales, FL 33853
Phone (863) 676-7190

1136 Bryn Mawr Ave
Lake Wales, FL 33853
Phone (352) 362-4223

1609 SW 17th St
Ste 100
Ocala, FL 34471
Phone (352) 401-9888

1805 SE Lake Weir Ave
Ocala, FL 34471
Phone (352) 307-1616

1609 SW 17th St
Ocala, FL 34471
Phone (352) 401-9888

7139 N US Highway 1
Port St John, FL 32927
Phone (321) 635-8304

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

1370 E Venice Ave
Ste 102
Venice, FL 34285

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: smohib68132@adventhealth.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1669486379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 LAKELAND HILLS BLVD",
            "address_2": "SUITE 106",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053200",
            "telephone_number": "863-682-8401",
            "fax_number": "863-802-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40124 HIGHWAY 27 STE 202",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338375905",
            "telephone_number": "863-422-5331",
            "fax_number": "863-422-5336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 LIONEL WAY",
            "address_purpose": "LOCATION",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377809",
            "country_code": "US",
            "telephone_number": "352-432-7200",
            "fax_number": "352-432-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHIB",
        "first_name": "SAIYED",
        "middle_name": "AONALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME105262",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036109212",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004729800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109212",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.