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DR. MAMOON ALI GHELLAI MBBCH
NPI 1518669159
Internal Medicine in Treasure Island, FL

Active since March 20, 2023PECOS Enrolled
61 DOLPHIN DR, TREASURE ISLAND, FL 33706(513) 300-7105 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mamoon Ali Ghellai Mbbch NPPES

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

DR. MAMOON ALI GHELLAI MBBCH (NPI 1518669159) is an individual internal medicine provider in Treasure Island, Florida, licensed in Florida (182226) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1518669159
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MAMOON ALI GHELLAICredential: MBBCH
Location Address61 DOLPHIN DRTreasure Island, FL 33706-3113
Mailing Address61 Dolphin DrTreasure Island, FL 33706-3113 · (513) 300-7105
Phone(513) 300-7105
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 20, 2023
Last NPPES UpdateJuly 3, 2026
NPPES CertifiedJuly 3, 2026
✔ NPI 1518669159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · 182226
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
61 DOLPHIN DR, Treasure Island, FL 33706
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mamoon Ali Ghellai Mbbch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668820861
PECOS Enrollment IDI20260813001369
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 Billing Reassignment

Medicare enrollment records show Mamoon Ghellai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bayside Medical Group LLC
Same address
Hospitalist
61 DOLPHIN DR
Treasure Island, FL 33706
  • Reassigned Medicare billing, Florida enrollment
  • 15 clinicians in this Medicare group
NPI 1215353818 (513) 300-7105

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33706 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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 5

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

RODDY JANIEL BERNARD MD
Internal Medicine
61 DOLPHIN DR
TREASURE ISLAND, FL 33706
Pinellas County (727) 853-1701
BAYSIDE MEDICAL GROUP LLC
Hospitalist
61 DOLPHIN DR
TREASURE ISLAND, FL 33706
Pinellas County (513) 300-7105
PREMIER ST. PETERSBURG
General Acute Care Hospital
61 DOLPHIN DR
TREASURE ISLAND, FL 33706
Pinellas County (513) 300-7105
JORDAN FULLER D.O.
Internal Medicine
61 DOLPHIN DR
TREASURE ISLAND, FL 33706
Pinellas County (727) 853-1701
CHRIS CARSON M.D.
Internal Medicine
61 DOLPHIN DR
TREASURE ISLAND, FL 33706
Pinellas County (727) 954-0671

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 Mamoon Ghellai's NPI number?

The NPI number for Mamoon Ghellai is 1518669159. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Mamoon Ghellai located?

Mamoon Ghellai practices at 61 Dolphin Dr, Treasure Island, FL 33706. The listed phone number is (513) 300-7105.

What is Mamoon Ghellai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mamoon Ghellai enrolled in Medicare?

Yes. Mamoon Ghellai is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mamoon Ghellai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamoon Ghellai reassigns Medicare benefits to Bayside Medical Group LLC (Treasure Island, 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 Mamoon Ghellai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mamoon Ghellai was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.