Individual provider Active NPI

Mohammad Yousuf Bhaghani, M.D.

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1669567269
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME75801 Issued in FL
Practice address
1800 Mercy Dr.
Suite 302
Orlando, FL 32808
Phone
(407) 875-3700
Fax
(407) 522-4671
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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 ME75801 FL
Psychiatry Physician 2084P0800X ME75801 FL Primary

Addresses

Primary practice location

1800 Mercy Dr.
Suite 302
Orlando, FL 32808

Mailing address

1800 Mercy Dr.
Suite 302
Orlando, FL 32808
Phone (407) 875-3700

Other practice location 1

6601 Central Florida Pkwy
Orlando, FL 32821-8064
Phone (407) 370-0111

Other identifiers 1

IdentifierTypeStateIssuer
263113000MedicaidFL

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
I20170913002471 FL Practitioner - Psychiatry 8224301288 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6000 Turkey Lake Rd
Suite 101B
Orlando, FL 32819-4205
Phone (407) 286-5953

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME75801FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Amistad Residential Treatment Center LLC Psychiatry CurrentSince Dec 8, 2022 Accepting new patients
Virtual Inpatient Psychiatry Physicians Behavioral Network LLC Psychiatry CurrentSince Mar 15, 2023 Accepting new patients
Primecare Psychiatric Associates Psychiatry CurrentSince Oct 1, 2023 Accepting new patients
Lifestream Behavioral Center Inc Past Accepting new patients

Locations

6000 Turkey Lake Rd
Ste 101B
Orlando, FL 32819
Phone (321) 251-3999

425 W Colonial Dr
Ste 302
Orlando, FL 32804
Phone (330) 414-9233

6601 Central Florida Pkwy
Orlando, FL 32821
Phone (407) 370-0111

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1669567269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MERCY DR.",
            "address_2": "SUITE 302",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32808",
            "telephone_number": "407-875-3700",
            "fax_number": "407-522-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MERCY DR.",
            "address_2": "SUITE 302",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32808",
            "telephone_number": "407-875-3700",
            "fax_number": "407-522-4671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6601 Central Florida Pkwy",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328218064",
            "country_code": "US",
            "telephone_number": "407-370-0111",
            "fax_number": "407-264-7748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHAGHANI",
        "first_name": "MOHAMMAD",
        "middle_name": "YOUSUF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME75801",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME75801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263113000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.