DR. MOHAMAD ELAZIZI BDS, MSC
NPI 1417389172
Dentist - Periodontics in Rockledge, FL

Q: What is Mohamad Elazizi's NPI number?

The NPI number for Mohamad Elazizi is 1417389172. It was assigned to this individual provider in the NPPES registry on August 5, 2013.

Q: What is Mohamad Elazizi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Mohamad Elazizi was last updated on January 19, 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.

Active since August 05, 2013PECOS Enrolled

1281 FLORIDA AVE S, ROCKLEDGE, FL 32955(321) 632-3171 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 19, 2022, Mar 2, 2016 (2 updates tracked since 2016).

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About Dr. Mohamad Elazizi Bds, Msc NPPES

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

DR. MOHAMAD ELAZIZI BDS, MSC (NPI 1417389172) is an individual periodontics provider in Rockledge, Florida, licensed in Florida (DN20817) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417389172

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. MOHAMAD ELAZIZICredential: BDS, MSC

Location Address1281 FLORIDA AVE SRockledge, FL 32955-2439

Mailing Address1281 Florida Ave SRockledge, FL 32955-2439 · (321) 632-3171

Phone(321) 632-3171

Sole ProprietorNo

Enumeration DateAugust 5, 2013

Last NPPES UpdateJanuary 19, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2022

✔ NPI 1417389172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in FL · DN20817

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentistTaxonomy 122300000X · License DN 20817 (FL), 2901021068 (MI)

1281 FLORIDA AVE S, Rockledge, FL 32955

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mohamad Elazizi Bds, Msc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32955 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES W. ANTOON D.M.D.

Dentist (Periodontics)

1281 FLORIDA AVE S
ROCKLEDGE, FL 32955

Brevard County (321) 632-3171

PERIODONTAL ARTISTRY, PLLC

Dentist (Periodontics)

1281 FLORIDA AVE S
ROCKLEDGE, FL 32955

Brevard County (321) 632-3171

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 Mohamad Elazizi's NPI number?

The NPI number for Mohamad Elazizi is 1417389172. It was assigned to this individual provider in the NPPES registry on August 5, 2013.

Where is Mohamad Elazizi located?

Mohamad Elazizi practices at 1281 Florida Ave S, Rockledge, FL 32955. The listed phone number is (321) 632-3171.

What is Mohamad Elazizi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Mohamad Elazizi enrolled in Medicare?

Yes. Mohamad Elazizi is registered in the Medicare PECOS enrollment system.

What insurance does Mohamad Elazizi accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and HRI Dental & Vision and 5 other insurers list Mohamad Elazizi 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 Mohamad Elazizi was last updated on January 19, 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.