MR. FOUAD SAM MOURSI MD
NPI 1245752021
General Practice in Winter Haven, FL

Active since July 12, 2017PECOS EnrolledAccepts Medicare Assignment
76.26/100
CMS Quality Rating
1514 1ST ST N, WINTER HAVEN, FL 33881(866) 234-8534 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2021, Dec 2, 2021, Nov 13, 2021 and 9 more (12 updates tracked since 2017).

About Mr. Fouad Sam Moursi Md NPPES

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

MR. FOUAD SAM MOURSI MD (NPI 1245752021) is an individual general practice provider in Winter Haven, Florida, licensed in Florida (ACN1397) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1245752021
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. FOUAD SAM MOURSICredential: MD
Location Address1514 1ST ST NWinter Haven, FL 33881-2476
Mailing Address47 5th St NwWinter Haven, FL 33881-4672
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 12, 2017
Last NPPES UpdateMarch 17, 202212 updates tracked since enumeration
NPPES CertifiedMarch 17, 2022
NPI 1245752021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · ACN1397
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License 22415 (PR)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 22415 (PR)
1514 1ST ST N, Winter Haven, FL 33881

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Fouad Sam Moursi 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.

PECOS PAC ID1557627304
PECOS Enrollment IDI20220401001627
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.

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.

76.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.91
Promoting Interoperability100
Improvement Activities40
Cost48.97

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.

Family Medicine
1514 1ST ST N
WINTER HAVEN, FL 33881
Nurse Practitioner (Family)
1514 1ST ST N
WINTER HAVEN, FL 33881
Durable Medical Equipment & Medical Supplies
1514 1ST ST N
WINTER HAVEN, FL 33881
Nurse Practitioner (Family)
1514 1ST ST N
WINTER HAVEN, FL 33881
Dentist
1514 1ST ST N
WINTER HAVEN, FL 33881
Dentist
1514 1ST ST N
WINTER HAVEN, FL 33881
Nurse Practitioner (Family)
1514 1ST ST N
WINTER HAVEN, FL 33881
Dentist (General Practice)
1514 1ST ST N
WINTER HAVEN, FL 33881

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 Fouad Moursi's NPI number?

The NPI number for Fouad Moursi is 1245752021. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Fouad Moursi located?

Fouad Moursi practices at 1514 1st St N, Winter Haven, FL 33881. The listed phone number is (866) 234-8534.

What is Fouad Moursi's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Fouad Moursi enrolled in Medicare?

Yes. Fouad Moursi 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.

What insurance does Fouad Moursi accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Fouad Moursi 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.

When was this NPI record last updated?

The NPPES record for Fouad Moursi was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.