Individual provider Active NPI

Islam Saad Gadelmoula, MD

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1730757162
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME167232 Issued in FL
Practice address
1475 W 49TH PL
Hialeah, FL 33012-3113
Phone
(305) 558-2500
NPI assigned
Jun 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X ME167232 FL Primary

Addresses

Primary practice location

1475 W 49TH PL
Hialeah, FL 33012-3113

Mailing address

2905 S 4TH St
Louisville, KY 40208-1303
Phone (502) 654-8003

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
I20240918001914 FL Practitioner - Internal Medicine 2668913609 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System-Sunbelt IncGroup PAC ID 0749232445, 100 clinicians
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

1210 US Hwy 27 N
Lake Placid, FL 33852-7948
Phone (863) 465-3777

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 314-4466

Hospital & facility affiliations

  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc Current Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Oct 21, 2024 Accepting new patients
Adventist Health System-Sunbelt Inc Internal Medicine CurrentSince Oct 21, 2024 Accepting new patients
Florida Hospital Physician Group Inc Internal Medicine CurrentSince Oct 21, 2024 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Oct 21, 2024 Accepting new patients

Locations

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

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 1

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": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1730757162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081303",
            "telephone_number": "502-654-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 W 49TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123113",
            "telephone_number": "305-558-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADELMOULA",
        "first_name": "ISLAM",
        "middle_name": "SAAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-13",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME167232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.