Active NPI
Eslam Mohamed, DO
- Family Medicine Physician
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS18775
- Practice address
- 621 W Brandon Blvd
Brandon, FL 33511-5005 - Phone
- (813) 681-5702
- NPI assigned
- Mar 20, 2020
- Last updated
- Aug 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A21465 | CA | |
| Family Medicine Physician | 207Q00000X | UO7323 | FL | |
| Family Medicine Physician | 207Q00000X | U1726 | TX | |
| Family Medicine Physician | 207Q00000X | 010271 | AZ | |
| Family Medicine Physician | 207Q00000X | 5101027533 | MI | |
| Family Medicine Physician | 207Q00000X | 036.163210 | IL | |
| Family Medicine Physician | 207Q00000X | 02007274A | IN | |
| Family Medicine Physician | 207Q00000X | 75137 | MN | |
| Family Medicine Physician | 207Q00000X | 321249 | NY | |
| Family Medicine Physician | 207Q00000X | 81082-21 | WI | |
| Family Medicine Physician | 207Q00000X | 34C.000162 | OH | |
| Family Medicine Physician | 207Q00000X | OS18775 | FL | Primary |
Addresses
Primary practice location
621 W Brandon Blvd
Brandon, FL 33511-5005
Mailing address
621 W Brandon Blvd
Brandon, FL 33511-5005
Phone (813) 681-5702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie Col of Osteopathic Medicine, Bradenton, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2720 10TH Ave N
Suite 100
Lake Worth, FL 33461-3100
Phone (561) 540-4446
621 W Brandon Blvd
Wellmed at Brandon Regional
Brandon, FL 33511-5964
Phone (813) 681-5702
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010271 | AZ | MD | Family Medicine Physician |
| 20A21465 | CA | MD | Family Medicine Physician |
| UO7323 | FL | MD | Family Medicine Physician |
| 036.163210 | IL | MD | Family Medicine Physician |
| 02007274A | IN | MD | Family Medicine Physician |
| 5101027533 | MI | MD | Family Medicine Physician |
| 75137 | MN | MD | Family Medicine Physician |
| 321249 | NY | MD | Family Medicine Physician |
| 34C.000162 | OH | MD | Family Medicine Physician |
| 81082-21 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Management of Florida Inc | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Pensacola LLC | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Pensacola LLC | Current | Accepting new patients | |
| Cogent Healthcare of Pensacola LLC | Current | Accepting new patients | |
| Central Florida Inpatient Medicine LLC | Current | Accepting new patients | |
| CTD Network LLC | Current | Accepting new patients | |
| Absolute Health Internal Medicine and Pediatrics | Current | Accepting new patients |
Locations
621 W Brandon Blvd
Brandon, FL 33511
Phone (813) 678-2373
17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060
2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425
7350 SW 60th Ave
Ste 2
Ocala, FL 34476
Phone (352) 854-5530
1805 James L Redman Pkwy
#5412
Plant City, FL 33563
1805 James L Redman Pkwy
Ste 201
Plant City, FL 33563
Phone (305) 721-1101
2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630
1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334
163 Parkhouse St
#1031
Dallas, TX 75207
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Freedom Health HMO Network
Interoperability endpoints
- eslam.mohamed@wellmed.eclinicaldirectplus.com
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1033395397
-
- Internal Medicine Physician
- Ocala, FL
- NPI 1891866083
-
- Internal Medicine Physician
- Lake Mary, FL
- NPI 1649228859
-
- Internal Medicine Physician
- Jacksonville Beach, FL
- NPI 1346287182
Family Medicine
-
- Internal Medicine Physician
- Inverness, FL
- NPI 1366025439
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1427631696
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sarasota, FL
- NPI 1245845312
-
- Home Health Agency
- Bradenton, FL
- NPI 1578252615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1881220846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 W BRANDON BLVD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115005",
"telephone_number": "813-681-5702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 W BRANDON BLVD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115005",
"telephone_number": "813-681-5702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "ESLAM",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-20",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A21465",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "UO7323",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "U1726",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "010271",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101027533",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.163210",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02007274A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "75137",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "321249",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "81082-21",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34C.000162",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS18775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.