Individual provider Active NPI

Brian T O'Mahoney, D.O.

  • Anesthesiology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1700816592
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS14497 Issued in FL
Practice address
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone
(954) 771-8000
Fax
(614) 884-0776
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X DO-07097 IA
Anesthesiology Physician 207L00000X OS14497 FL Primary

Addresses

Primary practice location

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603

Mailing address

1919 NE 45TH St Ste 214
Fort Lauderdale, FL 33308-5136
Phone (954) 493-5005

Other identifiers 2

IdentifierTypeStateIssuer
2667476MedicaidOH
OM4185821OtherOHMEDICARE ID-TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170913000730 FL Practitioner - Anesthesiology 3971506098 Reassigns benefits to 5 organizations
I20250805002409 IA Practitioner - Anesthesiology 3971506098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Ohio University, College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians
Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone (941) 629-1181

4725 N Federal Hwy
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 771-8000

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 21, 2025 Accepting new patients
Holy Cross Hospital Inc CurrentSince Jun 1, 2024 Accepting new patients
Cep America - Anesthesia PC Anesthesiology Current Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
American Anesthesiology Services of Florida, Inc. Anesthesiology CurrentSince Dec 25, 2019 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 21, 2025 Accepting new patients
Miami Anesthesia Services LLC Anesthesiology CurrentSince Jul 13, 2022 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jul 13, 2022 Accepting new patients
Holy Cross Hospital, Inc CurrentSince Jun 1, 2024 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Mar 9, 2026 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Holy Cross Hospital Inc Current Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Deperro Plastic Surgery, LLC Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

4725 N Federal Hwy
#G
Ft Lauderdale, FL 33308
Phone (954) 492-5748

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

266 NW Peacock Blvd
Ste 205
Port St Lucie, FL 34986
Phone (772) 446-4833

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

960 7th Ave N
St Petersburg, FL 33705
Phone (727) 821-8101

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1700816592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 NE 45TH ST STE 214",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085136",
            "telephone_number": "954-493-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084603",
            "telephone_number": "954-771-8000",
            "fax_number": "614-884-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MAHONEY",
        "first_name": "BRIAN",
        "middle_name": "T",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "DO-07097",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS14497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2667476",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "OM4185821",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.