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MOH'D ISLAM MOH'D ATA M. ALGHIZZAWI M.D.
NPI 1013654060
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since May 19, 2022PECOS Enrolled
1611 NW 12TH AVE, MIAMI, FL 33136(305) 355-1122 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2025, Aug 29, 2022, Aug 23, 2022 and 1 more (4 updates tracked since 2022).

About Moh'd Islam Moh'd Ata M. Alghizzawi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOH'D ISLAM MOH'D ATA M. ALGHIZZAWI M.D. (NPI 1013654060) is an individual student in an organized health care education/training program in Miami, Florida, licensed in Florida (TRN42339) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013654060
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOH'D ISLAM MOH'D ATA M. ALGHIZZAWICredential: M.D.
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address1611 Nw 12th AveMiami, FL 33136-1005 · (305) 355-1122
Phone(305) 355-1122
Sole ProprietorYes
Enumeration DateMay 19, 2022
Last NPPES UpdateJuly 1, 20254 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1013654060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · TRN42339
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1611 NW 12TH AVE, Miami, FL 33136
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moh'd Islam Moh'd Ata M. Alghizzawi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AKUA GYANEWAH ASARE MD
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 355-8264
MARILUZ SANCHEZ PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Miami-Dade County (305) 585-7309
DR. TASHA JOYTI N. D. COOKE TASHA COOKE
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3670
DR. JUANITA ANN MARIE HUNTER M.D.
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6042
WANDA LAVERNE MCGOWAN-BRAYNEN ARNP
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1111
DR. PERTTI KALEVI HAKALA M.D.
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Miami-Dade County (305) 585-6970
JAYLOU M VELEZ TORRES M.D.
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-8381
ANNE-ISABELLE SOPHIA REME MD
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moh'd Islam Alghizzawi's NPI number?

The NPI number for Moh'd Islam Alghizzawi is 1013654060. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Where is Moh'd Islam Alghizzawi located?

Moh'd Islam Alghizzawi practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 355-1122.

What is Moh'd Islam Alghizzawi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Moh'd Islam Alghizzawi enrolled in Medicare?

Yes. Moh'd Islam Alghizzawi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Moh'd Islam Alghizzawi was last updated on July 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.