Active NPI
Michael Mohseni, MD
- Emergency Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME97793
- Practice address
- 4500 San Pablo Rd S
Jacksonville, FL 32224-1865 - Phone
- (904) 953-2000
- NPI assigned
- Jun 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME97793 | FL | Primary |
Addresses
Primary practice location
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Mailing address
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmohseni396971@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Medical College of Georgia School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000
Hospital & facility affiliations
- Mayo Clinic
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.24 of 100
- Quality
- 74.85
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME97793 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Jacksonville | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Mayo Clinic Jacksonville | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Florida Em-I Medical Services, PA | Emergency Medicine | Past | Accepting new patients |
| Burke Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Sterling Emergency Services of the Southeast Inc | Emergency Medicine | Past | Accepting new patients |
| Washington Wilkes Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
11850 Atlantic Blvd
Jacksonville, FL 32225
Phone (904) 702-1330
15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000
4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
6477 103rd St
Jacksonville, FL 32210
Phone (904) 639-8517
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
181 Main St
Norway, ME 04268
Phone (207) 743-5933
Interoperability endpoints
- mmohseni396971@ehrdirect.mayoclinicmsg.org
Organizations & group practices 12
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1790772317
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
-
- Critical Access Hospital
- Norway, ME
- NPI 1346299815
-
- Home Infusion Therapy Pharmacy
- Jacksonville, FL
- NPI 1003510116
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1265693279
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Rural Health Clinic/Center
- Norway, ME
- NPI 1811288061
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1609296011
-
- Emergency Medicine Physician
- Waynesboro, GA
- NPI 1699701367
-
- Emergency Medicine Physician
- Eatonton, GA
- NPI 1992763627
-
- Emergency Medicine Physician
- Washington, GA
- NPI 1891725719
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1891782470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1881637064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 SAN PABLO RD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322241865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 SAN PABLO RD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322241865",
"telephone_number": "904-953-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHSENI",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME97793",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmohseni396971@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "4500 San Pablo Rd S",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322241865",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.