Individual provider Active NPI

Galal Elgazzaz, M.D

  • Surgery Physician
  • Ft Lauderdale, FL
National Provider Identifier
1861740672
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME126586 Issued in FL
Practice address
1625 SE 3Rd Ave Ste 421
Ft Lauderdale, FL 33316-2591
Phone
(954) 355-4479
Fax
(954) 888-3979
NPI assigned
Aug 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME126586 FL Primary
Transplant Surgery Physician 204F00000X ME126586 FL

Addresses

Primary practice location

1625 SE 3Rd Ave Ste 421
Ft Lauderdale, FL 33316-2591

Mailing address

1608 SE 3Rd Ave FL 3
Fort Lauderdale, FL 33316-2564
Phone (954) 355-4479

Other identifiers 1

IdentifierTypeStateIssuer
017592500MedicaidFL

Other names 1

  • Galal Soliman Elgazzaz Other name

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
I20160707002212 FL Practitioner - General Surgery 1456643618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Broward Hospital DistrictGroup PAC ID 3577472422, 192 clinicians

Practice addresses (Care Compare)

1625 SE 3 Ave
Fort Lauderdale, FL 33316-2521
Phone (954) 355-4479

Hospital & facility affiliations

  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126586FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Hospital District Current Accepting new patients
North Broward Hospital District CurrentSince May 10, 2021 Accepting new patients
North Broward Hospital District Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1600 S Andrews Ave
Ste 101
Ft Lauderdale, FL 33316
Phone (954) 355-4345

1601 S Andrews Ave
Fl 3
Ft Lauderdale, FL 33316
Phone (954) 320-3380

1700 NW 49th St
Ste 125
Ft Lauderdale, FL 33309
Phone (954) 355-3490

1625 SE 3rd Ave
Ste 721
Ft Lauderdale, FL 33316
Phone (954) 355-4617

1608 SE 3rd Ave
Fl 3
Ft Lauderdale, FL 33316

1625 SE 3rd Ave
Ste 421
Ft Lauderdale, FL 33316
Phone (954) 355-4479

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1600 S Andrews Ave
Fl 1
Ft Lauderdale, FL 33316

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1861740672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SE 3RD AVE FL 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162564",
            "telephone_number": "954-355-4479",
            "fax_number": "954-888-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE STE 421",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162591",
            "telephone_number": "954-355-4479",
            "fax_number": "954-888-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGAZZAZ",
        "first_name": "GALAL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-28",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME126586",
            "primary": true
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "FL",
            "license": "ME126586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017592500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GALAL",
            "last_name": "ELGAZZAZ",
            "middle_name": "SOLIMAN",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.