Individual provider Active NPI

Mona Saleh Boghdadi, M.D.

  • Family Medicine Physician
  • Wesley Chapel, FL
National Provider Identifier
1891912754
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME78034 Issued in FL
Practice address
27348 Cashford Cir
Wesley Chapel, FL 33543-8198
Phone
(813) 907-7680
Fax
(913) 907-2454
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME78034 FL Primary

Addresses

Primary practice location

27348 Cashford Cir
Wesley Chapel, FL 33543-8198

Mailing address

PO Box 48315
Tampa, FL 33647-0120
Phone (813) 907-7680

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
I20071217000755 FL Practitioner - Family Practice 8426148222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27348 Cashford Cir
Wesley Chapel, FL 33544-8198
Phone (813) 907-7680

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Clearwater, FL, CCN 109687
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Our Family Doctor Clinic PA CurrentSince Apr 30, 2007 Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients

Locations

27348 Cashford Cir
Wesley Chapel, FL 33544
Phone (813) 907-7680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECBDCA/Endpoint/ECBDCA

Organizations & group practices 2

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1891912754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48315",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336470120",
            "telephone_number": "813-907-7680",
            "fax_number": "813-907-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27348 CASHFORD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335438198",
            "telephone_number": "813-907-7680",
            "fax_number": "913-907-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGHDADI",
        "first_name": "MONA",
        "middle_name": "SALEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME78034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.