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WILSON ANDRES MOURAD MD
NPI 1043847494
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since March 25, 2020PECOS Enrolled
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, 550-16TH ST, MISSION HALL, 4TH FLOOR, SAN FRANCISCO, CA 94143(415) 476-5001 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wilson Andres Mourad Md NPPES

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

WILSON ANDRES MOURAD MD (NPI 1043847494) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043847494
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILSON ANDRES MOURADCredential: MD
Location AddressUNIVERSITY OF CALIFORNIA, SAN FRANCISCO, 550-16TH ST, MISSION HALL, 4TH FLOORSan Francisco, CA 94143-2549
Mailing Address1643 Brickell Ave Apt 4601Miami, FL 33129-1260 · (954) 557-4031
Phone(415) 476-5001
Sole ProprietorYes
Enumeration DateMarch 25, 2020
NPPES CertifiedMarch 25, 2020
✔ NPI 1043847494 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
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.

UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, 550-16TH ST, San Francisco, CA 94143
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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)

Wilson Andres Mourad Md 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.

Frequently Asked Questions

What is Wilson Mourad's NPI number?

The NPI number assigned to this healthcare provider is 1043847494, enumerated as an "individual" on March 25, 2020.

Where is the provider located?

The provider is located at UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, 550-16TH ST MISSION HALL, 4TH FLOOR SAN FRANCISCO, CA 94143 and the phone number is (415) 476-5001.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.