Individual provider Active NPI

Mohamed M. Aboyoussef, M.D.

  • Rheumatology Physician
  • Merritt Island, FL
National Provider Identifier
1972613057
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME140157 Issued in FL
Practice address
40 Fortenberry Rd
Merritt Island, FL 32952-3616
Phone
(321) 453-0779
Fax
(321) 453-4188
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME140157 FL Primary

Addresses

Primary practice location

40 Fortenberry Rd
Merritt Island, FL 32952-3616

Mailing address

40 Fortenberry Rd
Merritt Island, FL 32952-3616
Phone (321) 264-1135

Other practice location 1

4332 S Hopkins Ave
Titusville, FL 32780-6610
Phone (321) 264-1135

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
I20190926003220 FL Practitioner - Rheumatology 8527016013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Arthritis and Rheumatology Associates LLCGroup PAC ID 0840575007, 66 clinicians

Practice addresses (Care Compare)

4332 S Hopkins Ave
Titusville, FL 32780-6610
Phone (321) 453-0779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates LLC Rheumatology CurrentSince Sep 1, 2019 Accepting new patients
Space Coast Rheumatology & Arthritis Center PA Rheumatology Past Accepting new patients

Locations

1831 N Belcher Rd
Ste D2
Clearwater, FL 33765
Phone (727) 734-6631

40 Fortenberry Rd
Merritt Island, FL 32952
Phone (321) 453-0779

4332 S Hopkins Ave
Titusville, FL 32780
Phone (321) 264-1135

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mohamed.aboyoussef.p78@direct.aara1.nextgenshare.com

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 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1972613057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FORTENBERRY RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523616",
            "telephone_number": "321-264-1135",
            "fax_number": "321-453-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FORTENBERRY RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523616",
            "telephone_number": "321-453-0779",
            "fax_number": "321-453-4188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4332 S Hopkins Ave",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327806610",
            "country_code": "US",
            "telephone_number": "321-264-1135",
            "fax_number": "321-453-4188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABOYOUSSEF",
        "first_name": "MOHAMED",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME140157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.