Individual provider Active NPI

Adil Amaan Mohammed, M.D.

  • Psychiatry Physician
  • Leesburg, FL
National Provider Identifier
1881929693
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME115894 Issued in FL
Practice address
104 E Dixie Ave
Leesburg, FL 34748
Phone
(352) 431-3940
Fax
(352) 431-3173
NPI assigned
Oct 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X ME115894 FL Primary

Addresses

Primary practice location

104 E Dixie Ave
Leesburg, FL 34748

Mailing address

6500 W Newberry Rd
Gainesville, FL 32605-4309
Phone (352) 333-4000

Other practice location 1

6500 W Newberry Rd
Gainesville, FL 32605-4309
Phone (352) 333-4000

Other identifiers 1

IdentifierTypeStateIssuer
010197300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130923000352 FL Practitioner - Psychiatry 2860636487 Reassigns benefits to 1 organization
I20260421003671 PA Practitioner - Psychiatry 2860636487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmony United Florida, LLCGroup PAC ID 9638306673, 86 clinicians

Practice addresses (Care Compare)

2901 W Saint Isabel St
Suite D
Tampa, FL 33607-6350
Phone (352) 431-3940

Merit-based Incentive Payment System (MIPS)

Final score
81.81 of 100Reported as group
Quality
80.53
Improvement activities
40
Cost
75.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115894FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony United Florida, LLC Psychiatry CurrentSince Sep 3, 2013 Accepting new patients
Harmony United Pennsylvania PLLC Psychiatry Current Accepting new patients
West Florida Behavioral Health Inc Past Accepting new patients
Gulf to Bay Infectious Disease Consultants PLLC PastSince Dec 9, 2013 Accepting new patients

Locations

301 Skyline Dr
Ste 4
Lady Lake, FL 32159

104 E Dixie Ave
Leesburg, FL 34748
Phone (352) 451-1521

3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100

2901 W Saint Isabel St
Ste D
Tampa, FL 33607
Phone (352) 702-3765

15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340

404 E High St
Pottstown, PA 19464
Phone (484) 973-6661

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.

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1881929693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054309",
            "telephone_number": "352-333-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34748",
            "telephone_number": "352-431-3940",
            "fax_number": "352-431-3173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 W Newberry Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326054309",
            "country_code": "US",
            "telephone_number": "352-333-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "ADIL",
        "middle_name": "AMAAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-12",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME115894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010197300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.