Hasan M. Mousli, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME97722 Issued in FL

Practice address

1120 Carlton Ave
Suite 1300
Lake Wales, FL 33853-4348

Phone

(863) 676-6386

Fax

(863) 676-6452

NPI assigned

Jul 6, 2005

Last updated

Sep 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

NeurologyAlso: Sleep Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bartow Regional Medical Center Hospital, Bartow, FL, CCN 100121
• Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
• Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14666/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/HGBHBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brain Spine and Sleep Institute LLC

  dba Brain Spine and Sleep Institute

  • Neurology Physician
  • Lake Wales, FL
  • NPI 1386190734
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Polk South Inc

  dba AdventHealth Lake Wales

  • General Acute Care Hospital
  • Lake Wales, FL
  • NPI 1053972760
  Care Compare affiliation
• Adventist Health System-Sunbelt Inc

  dba AdventHealth Cancer Institute Sebring

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1083692594
  Care Compare affiliation
• Bartow Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Bartow, FL
  • NPI 1558734095
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1710984679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CARLTON AVE",
            "address_2": "SUITE 1300",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534348",
            "telephone_number": "863-676-6386",
            "fax_number": "863-676-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CARLTON AVE",
            "address_2": "SUITE 1300",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534348",
            "telephone_number": "863-676-6386",
            "fax_number": "863-676-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSLI",
        "first_name": "HASAN",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME97722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "92669",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277700200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna K Moreau, RN
• Yira Morell Perez, SLPA
• Moreno Quality Services
• Glenda G Morgan
• Morning Star Health Solutions, Inc.
• Multi-Specialty & Primary Care Practice Group of Lake Wales LLC
• Devin M Murphy, PTA
• Myeyedr. Optometry of Florida, LLC (MyEyeDr.)
• Issac Nagib, R.P.T.
• Ricardo James Navarro, D.O.

• Neurology Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.

Verify at the official NPI Registry.