Gasim Mohamed Elshazali

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME106077 Issued in FL

Practice address

800 Prudential Dr
Jacksonville, FL 32207-8202

Phone

(904) 625-8365

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, IA, GA, NC4 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 4

Specialty

Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cogent Healthcare of Iowa PCGroup PAC ID 3779517941, 60 clinicians

Carteret County General Hospital CorporationGroup PAC ID 7517877517, 118 clinicians

Cogent Healthcare of Georgia PCGroup PAC ID 2961483607, 252 clinicians

Hospital Physician Services - Southeast Professional CorporationGroup PAC ID 5597774554, 825 clinicians

Southeastern Medical Group PCGroup PAC ID 8921030719, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064
• Carteret General Hospital Hospital, Morehead City, NC, CCN 340142
• Fairview Park Hospital Hospital, Dublin, GA, CCN 110125
• Person Memorial Hospital Hospital, Roxboro, NC, CCN 340159

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gelshazali4647614@direct.trinity-health.org

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.

• Cogent Healthcare of Georgia PC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1609827823
  Medicare reassignment Care Compare group NPD
• Cogent Healthcare of Iowa, PC

  • Internal Medicine Physician
  • Cedar Rapids, IA
  • NPI 1982654497
  Medicare reassignment Care Compare group NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  NC

  Medicare reassignment Care Compare group NPD
• Carteret County General Hospital Corporation

  • General Acute Care Hospital
  • Morehead City, NC
  • NPI 1760479331
  Medicare reassignment Care Compare group
• Southeastern Medical Group, PC

  • Hospitalist Physician
  • Brevard, NC
  • NPI 1184669053
  Medicare reassignment Care Compare group
• Hni Medical Services of Florida, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1679048284
  Medicare reassignment NPD
• Lake Wales Physician Services, LLC

  • Hospitalist Physician
  • Lake Wales, FL
  • NPI 1164902797
  Medicare reassignment NPD
• University of Florida Jacksonville Physicians Inc

  • Diagnostic Radiology Physician
  • Jacksonville, FL
  • NPI 1326208695
  Medicare reassignment NPD
• Piedmont Hospitalist Physicians LLC

  • Family Medicine Physician
  • Stockbridge, GA
  • NPI 1548219660

  Internal Medicine

  Medicare reassignment NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA, IA

  Medicare reassignment
• Fairview Park, Limited Partnership

  • General Acute Care Hospital
  • Dublin, GA
  • NPI 1285688234
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carteret County General Hospital Corporation

  • General Acute Care Hospital
  • Morehead City, NC
  • NPI 1760479331
  Care Compare affiliation
• DLP Person Memorial Hospital LLC

  • General Acute Care Hospital
  • Roxboro, NC
  • NPI 1881977593
  Care Compare affiliation
• Fairview Park, Limited Partnership

  • General Acute Care Hospital
  • Dublin, GA
  • NPI 1285688234
  Care Compare affiliation
• Mercy Health Services-Iowa Corp

  • Rural Acute Care Hospital
  • Mason City, IA
  • NPI 1467537886
  Care Compare affiliation

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1922128339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11744 GLACIER BAY DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562988",
            "telephone_number": "904-625-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRUDENTIAL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078202",
            "telephone_number": "904-625-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHAZALI",
        "first_name": "GASIM",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57012674",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME106077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Elsas, ITDS CERTIFIED
• Naglaa Elsayed
• Rahma Elsayed
• Bernard I Elser, M.D.
• Ahmed S. Elshabrawy, MD
• Ethar Hajo Ahmed Elsheikh
• Elsie Angels LLC
• Briana S Elson, OTR/L
• Elizabeth Elstein, DDS
• Abeer Eltemtamy

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.

Verify at the official NPI Registry.