Individual provider Active NPI

Mostafa Elyaman, MD

  • Family Medicine Physician
  • Inverness, FL
National Provider Identifier
1780814913
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301095256 Issued in MI
Practice address
101 S Osceola Ave
Inverness, FL 34452-4727
Phone
(352) 726-5533
Fax
(352) 726-5818
NPI assigned
Jul 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301095256 MI Primary

Addresses

Primary practice location

101 S Osceola Ave
Inverness, FL 34452-4727

Mailing address

101 S Osceola Ave
Inverness, FL 34452-4727
Phone (352) 726-5533

Other practice location 1

2001 S Merriman Rd
Suite 100
Westland, MI 48186-5539
Phone (734) 467-1000

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
I20131023000675 FL Practitioner - Family Practice 4981839230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Associates PAGroup PAC ID 3971570276, 3 clinicians

Practice addresses (Care Compare)

521 SE Fort Island TRL
Suite E
Crystal River, FL 34429-8904
Phone (352) 563-5858

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023
  • Tampa General Hospital Crystal River Hospital, Crystal River, FL, CCN 100249

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions11
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301095256MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Health Internal Medicine and Pediatrics CurrentSince Mar 24, 2014 Accepting new patients
Family Practice Associates, PA Family Medicine CurrentSince Oct 15, 2015 Accepting new patients

Locations

521 SE Fort Island Trl
Ste E
Crystal River, FL 34429
Phone (352) 563-5858

326 S Line Ave
Inverness, FL 34452
Phone (352) 563-5858

101 S Osceola Ave
Inverness, FL 34452
Phone (352) 726-5533

7350 SW 60th Ave
Ste 2
Ocala, FL 34476
Phone (352) 854-5530

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAJAD

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 6

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": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780814913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S OSCEOLA AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524727",
            "telephone_number": "352-726-5533",
            "fax_number": "352-726-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S OSCEOLA AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524727",
            "telephone_number": "352-726-5533",
            "fax_number": "352-726-5818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S Merriman Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481865539",
            "country_code": "US",
            "telephone_number": "734-467-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELYAMAN",
        "first_name": "MOSTAFA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301095256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.