NASSER A MOUKADDEM MD
NPI 1124008883
Internal Medicine in St Petersburg, FL
About Nasser A Moukaddem Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NASSER A MOUKADDEM MD (NPI 1124008883) is an individual internal medicine provider in St Petersburg, Florida, licensed in Florida (FLME0071447) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Hospital, and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nasser A Moukaddem Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Nasser Moukaddem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Port St Lucie, FL 34986
- Reassigned Medicare billing, Florida enrollment
- 187 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Anthonys Hospital
Acute Care Hospitals · Saint Petersburg, FLSt Josephs Hospital
Acute Care Hospitals · Tampa, FLMorton Plant Hospital
Acute Care Hospitals · Clearwater, FLHca Florida St Petersburg Hospital
Acute Care Hospitals · Saint Petersburg, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nasser Moukaddem's NPI number?
The NPI number for Nasser Moukaddem is 1124008883. It was assigned to this individual provider in the NPPES registry on January 19, 2006.
Where is Nasser Moukaddem located?
Nasser Moukaddem practices at 4226 Central Ave, St Petersburg, FL 33711. The listed phone number is (727) 321-3915.
What is Nasser Moukaddem's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Nasser Moukaddem enrolled in Medicare?
Yes. Nasser Moukaddem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Nasser Moukaddem's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nasser Moukaddem reassigns Medicare benefits to Wellmed Medical Management Of Florida Inc (Port St Lucie, 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 Nasser Moukaddem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nasser Moukaddem affiliated with any hospitals?
According to CMS data, Nasser Moukaddem is affiliated with St Anthonys Hospital, St Josephs Hospital, Morton Plant Hospital and Hca Florida St Petersburg Hospital.
When was this NPI record last updated?
The NPPES record for Nasser Moukaddem was last updated on December 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Nasser A Moukaddem, MD · NPI 1124008883
Internal Medicine physician in St Petersburg, Florida. Individual provider, active in the CMS NPPES registry since January 19, 2006.
## Identity
- **NPI:** 1124008883 (Entity type: Individual)
- **Enumerated:** January 19, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** FLME0071447 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4226 CENTRAL AVE, St Petersburg, FL 33711-1140
- **Phone:** (727) 321-3915
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wellmed Medical Management Of Florida Inc (NPI 1033395397, Port St Lucie, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** December 4, 2013
- **Other identifiers:** Medicare ID-Type Unspecified 32679Z (FL); Medicaid 254197100 (FL); Medicare UPIN F98559 (FL); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1124008883) · Data from the CMS NPPES public registry.