DR. MOHAMED B FOUDA MD
NPI 1104302934
Internal Medicine in Omaha, NE
About Dr. Mohamed B Fouda Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MOHAMED B FOUDA MD (NPI 1104302934) is an individual internal medicine provider in Omaha, Nebraska, licensed in Nebraska (8143) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mohamed B Fouda Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mohamed Fouda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32204
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: St Vincent's Ambulatory Care Inc
- 544 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OMAHA, NE 68124
OMAHA, NE 68124
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 Mohamed Fouda's NPI number?
The NPI number for Mohamed Fouda is 1104302934. It was assigned to this individual provider in the NPPES registry on July 15, 2018.
Where is Mohamed Fouda located?
Mohamed Fouda practices at 7710 Mercy Rd Ste 202, Omaha, NE 68124. The listed phone number is (402) 280-4392.
What is Mohamed Fouda's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mohamed Fouda enrolled in Medicare?
Yes. Mohamed Fouda is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mohamed Fouda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Fouda reassigns Medicare benefits to St Vincents Ambulatory Care Inc (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mohamed Fouda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mohamed Fouda was last updated on July 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Mohamed B Fouda, MD · NPI 1104302934
Internal Medicine physician in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since July 15, 2018.
## Identity
- **NPI:** 1104302934 (Entity type: Individual)
- **Enumerated:** July 15, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 8143 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 7710 MERCY RD STE 202, Omaha, NE 68124-2353
- **Phone:** (402) 280-4392
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Vincents Ambulatory Care Inc (NPI 1417987124, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1104302934) · Data from the CMS NPPES public registry.