Individual provider Active NPI

Mohammed Nayab Ansari, D.O.

  • Psychiatry Physician
  • Tamarac, FL
National Provider Identifier
1811438682
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
16485 Issued in FL
Practice address
7201 N University Dr
Tamarac, FL 33321-2913
Phone
(954) 724-6540
NPI assigned
Mar 13, 2017
Last updated
Jan 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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 FL
Psychiatry Physician 2084P0800X 16485 FL Primary

Addresses

Primary practice location

7201 N University Dr
Tamarac, FL 33321-2913

Mailing address

7201 N University Dr
Tamarac, FL 33321-2913
Phone (954) 721-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, AL, PA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200220002178 FL Practitioner - Psychiatry 0840627477 Reassigns benefits to 5 organizations
I20221011002482 NY Practitioner - Psychiatry 0840627477 Reassigns benefits to 1 organization
I20231023000470 AL Practitioner - Psychiatry 0840627477 Reassigns benefits to 2 organizations
I20240926002774 PA Practitioner - Psychiatry 0840627477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Alabama College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

455 W Warren Ave
Longwood, FL 32750-4038
Phone (407) 262-2220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16485FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Sep 10, 2022 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 1, 2024 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2021 Accepting new patients
St. Luke's Physician Group Inc CurrentSince Aug 21, 2024 Accepting new patients
Asana Integrated Medical Group PC Psychiatry CurrentSince Oct 26, 2021 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Aug 21, 2024 Accepting new patients
Raul J Rodriguez Mdpa CurrentSince Jan 2, 2020 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

11 N Water St
Fl 10
Mobile, AL 36602
Phone (205) 860-7878

1850 Airport Blvd
Mobile, AL 36606
Phone (228) 243-9771

403 SE 1st St
Delray Beach, FL 33483
Phone (561) 266-8866

1301 Riverplace Blvd
Jacksonville, FL 32207

1301 Riverplace Blvd
Ste 800
Jacksonville, FL 32207
Phone (904) 567-6040

455 W Warren Ave
Longwood, FL 32750
Phone (407) 260-0551

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: mansari321763@orlandohealth.medalliesdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1811438682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212913",
            "telephone_number": "954-721-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212913",
            "telephone_number": "954-724-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "MOHAMMED",
        "middle_name": "NAYAB",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "16485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.