Individual provider Active NPI

Mohammad Yunus, MD

  • Internal Medicine Physician
  • Bonifay, FL
National Provider Identifier
1730165259
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME27818 Issued in FL
Practice address
404 E Highway 90
Bonifay, FL 32425-2731
Phone
(850) 547-4284
Fax
(850) 547-5415
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME27818 FL Primary

Addresses

Primary practice location

404 E Highway 90
Bonifay, FL 32425-2731

Mailing address

404 E Highway 90
Bonifay, FL 32425-2731
Phone (850) 547-4284

Other identifiers 2

IdentifierTypeStateIssuer
057279900MedicaidFL
660039500MedicaidFL

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
I20111216000508 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0547330003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

404 E Hwy 90
Mohammad Yunus MD
Bonifay, FL 32425-2731
Phone (850) 547-4284

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Marianna, FL, CCN 109102
  • Emerald Coast Hospice Hospice, Panama City, FL, CCN 101537
  • Doctors Memorial Hospital Hospital, Bonifay, FL, CCN 101307
  • Bonifay Nursing and Rehab Center Nursing home, Bonifay, FL, CCN 105624
  • Doctors Memorial Hospital Nursing home, CCN 10Z307

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mohammad Yunus MD PA Internal Medicine Current Accepting new patients
Mohammad Yunus MD PA CurrentSince Jan 1, 1976 Accepting new patients

Locations

404 E Highway 90
Bonifay, FL 32425
Phone (850) 547-4284

2600 Hospital Dr
Bonifay, FL 32425
Phone (850) 416-6484

Interoperability endpoints

  • Direct secure messaging: yunus.mohammad.003.0090061@moyu.meditab.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bonifay Nursing and Rehab CenterBonifay, FL, CCN 105624 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2000
Jan 1, 2000
Yunus Rural HealthBonifay, FL, CCN 103882 Rural health clinic 5% Or Greater Direct Ownership Interest
W-2 Managing Employee
Apr 1, 2008
Apr 1, 2008

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1730165259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E HIGHWAY 90",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324252731",
            "telephone_number": "850-547-4284",
            "fax_number": "850-547-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E HIGHWAY 90",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324252731",
            "telephone_number": "850-547-4284",
            "fax_number": "850-547-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNUS",
        "first_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME27818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057279900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660039500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonifay, FL

Sources for this page

Verify at the official NPI Registry.