Individual provider Active NPI

Mohamed Nasser

  • Epilepsy Physician
  • Weston, FL
National Provider Identifier
1699279638
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
License
ME161885 Issued in FL
Practice address
17180 Royal Palm Blvd Ste 1
Weston, FL 33326-2394
Phone
(954) 276-1474
Fax
(954) 385-6026
NPI assigned
Mar 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X ME161885 FL Primary

Addresses

Primary practice location

17180 Royal Palm Blvd Ste 1
Weston, FL 33326-2394

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

1150 N 35th Ave Ste 590
Hollywood, FL 33021-5468
Phone (954) 265-9500

Other identifiers 1

IdentifierTypeStateIssuer
119227100MedicaidFL

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
I20231011003763 FL Practitioner - Neurology 5092066233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

1150 N 35TH Ave
Suite 590
Hollywood, FL 33021-5468
Phone (954) 265-9500

17180 Royal Palm Blvd
Suite 1
Weston, FL 33326-2394
Phone (954) 276-1474

2063 Biscayne Blvd
Suite 501
Miami, FL 33137-5058
Phone (954) 265-9000

4302 Alton Rd
Suite 330
Miami Beach, FL 33140-2818
Phone (305) 532-2464

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Aug 1, 2023 Accepting new patients
South Broward Hospital District CurrentSince Aug 1, 2023 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

1150 N 35th Ave
Ste 590
Hollywood, FL 33021
Phone (954) 265-9500

4302 Alton Rd
Ste 330
Miami Beach, FL 33140
Phone (305) 532-2464

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

601 N Flamingo Rd
Ste 204
Pembroke Pines, FL 33028
Phone (954) 276-1474

17180 Royal Palm Blvd
Ste 1
Weston, FL 33326
Phone (954) 276-1474

Interoperability endpoints

  • Direct secure messaging: mnasser345691@mhsdirect.net

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 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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1699279638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17180 ROYAL PALM BLVD STE 1",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262394",
            "telephone_number": "954-276-1474",
            "fax_number": "954-385-6026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 N 35th Ave Ste 590",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215468",
            "country_code": "US",
            "telephone_number": "954-265-9500",
            "fax_number": "954-265-1431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSER",
        "first_name": "MOHAMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "FL",
            "license": "ME161885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119227100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.