MOUDAR ALSHAZLEY MD
NPI 1205887213
Emergency Medicine in Pace, FL
About Moudar Alshazley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUDAR ALSHAZLEY MD (NPI 1205887213) is an individual emergency medicine provider in Pace, Florida, licensed in Florida (ME78728) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Santa Rosa Medical Center, and is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Accepted Insurance
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
Moudar Alshazley 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 Reassignments
4Medicare enrollment records show Moudar Alshazley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pace, FL 32571
- Reassigned Medicare billing, Florida enrollment
- 23 clinicians in this Medicare group
Milton, FL 32570
- Reassigned Medicare billing, Florida enrollment
- 78 clinicians in this Medicare group
Milton, FL 32570
- Reassigned Medicare billing, Florida enrollment
- 11 clinicians in this Medicare group
Crestview, FL 32539
- Reassigned Medicare billing, Florida enrollment
- 77 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 11
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Santa Rosa Medical Center
Acute Care Hospitals · Milton, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32571 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 3
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 6
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 Moudar Alshazley's NPI number?
The NPI number for Moudar Alshazley is 1205887213. It was assigned to this individual provider in the NPPES registry on May 14, 2006.
Where is Moudar Alshazley located?
Moudar Alshazley practices at 4225 Woodbine Rd Suite A, Pace, FL 32571. The listed phone number is (850) 994-6575.
What is Moudar Alshazley's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Moudar Alshazley enrolled in Medicare?
Yes. Moudar Alshazley 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 organizations bill Medicare for Moudar Alshazley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Moudar Alshazley reassigns Medicare benefits to 4 organizations: NW Florida Emergency Physicians LLC (Pace, FL), Santa Rosa Hb Medical Services LLC (Milton, FL), Old River Physician Services, LLC (Milton, FL) and Floridian Emergency Specialists, LLC (Crestview, FL). Each 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 Moudar Alshazley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Moudar Alshazley accept?
Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Moudar Alshazley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Moudar Alshazley affiliated with any hospitals?
According to CMS data, Moudar Alshazley is affiliated with Santa Rosa Medical Center.
When was this NPI record last updated?
The NPPES record for Moudar Alshazley was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Moudar Alshazley, MD · NPI 1205887213
Emergency Medicine physician in Pace, Florida. Individual provider, active in the CMS NPPES registry since May 14, 2006.
## Identity
- **NPI:** 1205887213 (Entity type: Individual)
- **Enumerated:** May 14, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** ME78728 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4225 WOODBINE RD, SUITE A, Pace, FL 32571-8790
- **Phone:** (850) 994-6575 · **Fax:** (850) 994-5643
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): NW Florida Emergency Physicians LLC (NPI 1184556268, Pace, FL); Santa Rosa Hb Medical Services LLC (NPI 1982384988, Milton, FL); Old River Physician Services, LLC (NPI 1184561607, Milton, FL); Floridian Emergency Specialists, LLC (NPI 1992150007, Crestview, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** February 2, 2011
- **Other identifiers:** Medicaid 263433300 (FL); Medicare ID-Type Unspecified 13265A (FL); Medicare UPIN G20630 (FL); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1205887213) · Data from the CMS NPPES public registry.