Mohammad A Faisal, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME58587 Issued in FL

Practice address

1283 SW State Road 47
Suite 104
Lake City, FL 32025-0489

Phone

(386) 758-5985

Fax

(386) 758-5987

NPI assigned

Jan 25, 2006

Last updated

May 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mohammad Ali Faisal, M.D., P.a.

  • Specialist
  • Lake City, FL
  • NPI 1689639353
  Medicare reassignment NPD Authorized official
• Mohammad Ali Faisal Mdpa

  • Specialist
  • Lake City, FL
  • NPI 1275944126
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1801866405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3009",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320563009",
            "telephone_number": "386-758-5985",
            "fax_number": "386-758-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 SW STATE ROAD 47",
            "address_2": "SUITE 104",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250489",
            "telephone_number": "386-758-5985",
            "fax_number": "386-758-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAISAL",
        "first_name": "MOHAMMAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME58587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051283400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikki Mariah Evirs, LMT
• Eye Doctors Optical Outlets, PA
• Linda Milligan Ezell, RN
• Kristen Marie Fair
• Kristyn Ann Faircloth, LCSW
• Faith Works in Motion, Inc
• Michelle A Faller, NP-C
• Family & Love First Homecare LLC
• Family Health Center of Columbia County, Inc. (selected)
• Fanney Spine and Rehab, P.a.

• Gastroenterology Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.

Verify at the official NPI Registry.