Active NPI
Mohamed Badreldin Elshazly, M.D
- Clinical Cardiac Electrophysiology Physician
- Lake Mary, FL
National Provider Identifier
1710290721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- ME164585
- Practice address
- 392 Rinehart Rd Ste 2080
Lake Mary, FL 32746-2541 - Phone
- (321) 841-6444
- Fax
- (321) 842-1955
- NPI assigned
- Jul 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | ME164585 | FL | Primary |
Addresses
Primary practice location
392 Rinehart Rd Ste 2080
Lake Mary, FL 32746-2541
Mailing address
392 Rinehart Rd Ste 2080
Lake Mary, FL 32746-2541
Phone (321) 841-6444
Other practice location 1
171 Ashley Ave
Charleston, SC 29425-0001
Phone (843) 792-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120068700 | Medicaid | FL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.musc.edu | Health Information Exchange (HIE) | |
| Direct Messaging Address | providerenrollment@orlandohealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
392 Rinehart Rd
Suite 2080
Lake Mary, FL 32746-2541
Phone (321) 841-6444
Hospital & facility affiliations
- Orlando Health
- Adventhealth Orlando
- Adventhealth Fish Memorial
- Orlando Health-Health Central Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.02 of 100
- Quality
- 62.41
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients |
Locations
392 Rinehart Rd
Ste 2080
Lake Mary, FL 32746
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1710290721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "392 RINEHART RD STE 2080",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462541",
"telephone_number": "321-841-6444",
"fax_number": "321-842-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "392 RINEHART RD STE 2080",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462541",
"telephone_number": "321-841-6444",
"fax_number": "321-842-1955"
}
],
"practiceLocations": [
{
"address_1": "171 Ashley Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294250001",
"country_code": "US",
"telephone_number": "843-792-1414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELSHAZLY",
"first_name": "MOHAMED",
"middle_name": "BADRELDIN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-19",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "FL",
"license": "ME164585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120068700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.musc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "171 Ashley Ave",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294250001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "providerenrollment@orlandohealth.com",
"affiliation": "N",
"address_1": "392 Rinehart Rd Ste 2080",
"city": "Lake Mary",
"state": "FL",
"country_code": "US",
"postal_code": "327462541",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.