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CRESCENT WOUND CARE PLLC
NPI 1164368478
Surgery in Melbourne, FL

Active since April 28, 2026
765 W NASA BLVD, MELBOURNE, FL 32901(321) 733-5725(321) 733-5799 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Crescent Wound Care Pllc NPPES

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

CRESCENT WOUND CARE PLLC (NPI 1164368478) is a healthcare organization registered as a surgery in Melbourne, Florida and active in the NPI registry since April 2026. The organization lists Mohamed Kadry-hassanein, Owner, as its authorized official.

NPPES Registry Identity

NPI1164368478
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameCRESCENT WOUND CARE PLLC
Location Address765 W NASA BLVDMelbourne, FL 32901-1815
Mailing Address5580 La Jolla Blvd Ste 622La Jolla, CA 92037-7651 · (858) 221-7726 · Fax (858) 431-4736
Phone(321) 733-5725
Fax(321) 733-5799
Organization SubpartNo
Authorized OfficialMohamed Kadry-hassaneinOwner · (858) 967-3070
Enumeration DateApril 28, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1164368478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
765 W NASA BLVD, Melbourne, FL 32901
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crescent Wound Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Crescent Wound Care PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Pamela Reyes Guerrero, M.D.
Internal Medicine
NPI 1902175698
500 E CENTRAL AVE
Winter Haven, FL 33880
(863) 293-1191
✔ PECOS67 mi
Sandra Birken
General Surgery
NPI 1396315776
409 BAYSHORE BLVD
Tampa, FL 33606
(813) 844-5682
✔ PECOS112 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Crescent Wound Care PLLC's NPI number?

The NPI number for Crescent Wound Care PLLC is 1164368478. It was assigned to this organization in the NPPES registry on April 28, 2026.

Where is Crescent Wound Care PLLC located?

Crescent Wound Care PLLC is located at 765 W Nasa Blvd, Melbourne, FL 32901. The listed phone number is (321) 733-5725.

What is Crescent Wound Care PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Crescent Wound Care PLLC enrolled in Medicare?

Yes. Crescent Wound Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crescent Wound Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Crescent Wound Care PLLC, in General Surgery and Internal Medicine. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Crescent Wound Care PLLC was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.