Individual provider Active NPI

Mohamed Elsayed Mahmoud Ghonimy, MD

  • Internal Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1821437427
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME157054 Issued in FL
Practice address
1000 36TH Street Vero Beach Street
Vero Beach, FL 32960
Phone
(772) 567-4311
Fax
(772) 794-1474
NPI assigned
Jun 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME157054 FL
Internal Medicine Physician 207R00000X ME157054 FL Primary

Addresses

Primary practice location

1000 36TH Street Vero Beach Street
Vero Beach, FL 32960

Mailing address

10372 SW Green Turtle LN
Port St Lucie, FL 34987-6423
Phone (772) 567-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170509001931 MI Practitioner - Internal Medicine 0446548101 Reassigns benefits to 3 organizations
I20220831003211 FL Practitioner - HospitalistPractitioner - Internal Medicine 0446548101
I20250827004712 OH Practitioner - Internal Medicine 0446548101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary'S Medical Group CurrentSince Jan 8, 2022 Accepting new patients
Bronson Methodist Hospital Hospitalist CurrentSince May 28, 2017 Accepting new patients
Patholgy Services of Kalamazoo, PC Current Accepting new patients
Bronson Lakeview Hospital Internal Medicine CurrentSince May 28, 2017 Accepting new patients
Bronson Lakeview Hospital CurrentSince May 28, 2017 Accepting new patients
Advantage Health/Saint Mary'S Medical Group Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Aug 7, 2025 Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Jan 8, 2022 Accepting new patients
Fairview Hospital Past Accepting new patients

Locations

1000 36th St
Ste 5105
Vero Beach, FL 32960

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

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

601 John St
#74
Kalamazoo, MI 49007
Phone (269) 341-8481

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mghonimy1597206@direct.trinity-health.org

Organizations & group practices 9

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 5

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727568000000",
    "number": "1821437427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10372 SW GREEN TURTLE LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349876423",
            "telephone_number": "772-567-4311",
            "fax_number": "772-794-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 36TH STREET VERO BEACH STREET",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-567-4311",
            "fax_number": "772-794-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHONIMY",
        "first_name": "MOHAMED",
        "middle_name": "ELSAYED MAHMOUD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME157054",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME157054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.