Individual provider Active NPI

Ata Ul Mohsin, M.D.

  • Specialist
  • Panama City, FL
National Provider Identifier
1841217684
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0087428 Issued in FL
Practice address
340 W 23Rd St Ste B
Panama City, FL 32405-4541
Phone
(850) 913-9488
Fax
(850) 522-9443
NPI assigned
Jul 17, 2006
Last updated
Sep 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0087428 FL Primary

Addresses

Primary practice location

340 W 23Rd St Ste B
Panama City, FL 32405-4541

Mailing address

340 W 23Rd St Ste B
Panama City, FL 32405-4541
Phone (850) 913-9488

Other identifiers 1

IdentifierTypeStateIssuer
2669081-00MedicaidFL

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
I20041014000381 FL Practitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Internal Medicine 4880654953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 Airport Rd
Panama City, FL 32405-4010
Phone (850) 913-9488

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0087428FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Consult Care Pain Medicine P a. CurrentSince Feb 25, 2008 Accepting new patients
Physician Providers Group PA Specialist PastSince Jul 9, 2023 Accepting new patients
Robert Ulseth LLC Specialist Past Accepting new patients

Locations

340 W 23rd St
Ste B
Panama City, FL 32405
Phone (850) 913-9294

501 Airport Rd
Panama City, FL 32405
Phone (850) 866-5356

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1841217684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W 23RD ST STE B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054541",
            "telephone_number": "850-913-9488",
            "fax_number": "850-522-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W 23RD ST STE B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054541",
            "telephone_number": "850-913-9488",
            "fax_number": "850-522-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHSIN",
        "first_name": "ATA",
        "middle_name": "UL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0087428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2669081-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.