Active NPI
Mostafa Elyaman, MD
- Family Medicine Physician
- Inverness, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301095256
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- HCA Florida Citrus Hospital
- Tampa General Hospital Crystal River
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 11 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301095256 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute Health Internal Medicine and Pediatrics | Current | Accepting new patients | |
| Family Practice Associates, PA | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Inverness, FL
- NPI 1316046170
-
- Internal Medicine Physician
- Ocala, FL
- NPI 1891866083
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Inverness, FL
- NPI 1750780342
-
- General Acute Care Hospital
- Crystal River, FL
- NPI 1407637531
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.