Active NPI
Islam Saad Gadelmoula, MD
- Internal Medicine Physician
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME167232
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncFlorida Hospital Physician Group Inc
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Internal Medicine | Current | Accepting new patients |
| Florida Hospital Physician Group Inc | Internal Medicine | Current | Accepting new patients |
| Adventist Health System-Sunbelt Inc | Current | 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.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
FL, Internal Medicine
-
- Rural Health Clinic/Center
- Wauchula, FL
- NPI 1396046637
-
- Rural Health Clinic/Center
- Frostproof, FL
- NPI 1013434067
-
- Critical Access Hospital
- Wauchula, FL
- NPI 1275511651
-
- Critical Access Hospital
- Wauchula, FL
- NPI 1457458986
-
- Community/Retail Pharmacy
- Sebring, FL
- NPI 1770087355
-
- Rural Health Clinic/Center
- Avon Park, FL
- NPI 1881850956
-
- Internal Medicine Physician
- Sebring, FL
- NPI 1164698809
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.