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ABDEL H ELHOUSHY MD
NPI 1548210305
Anesthesiology - Pain Medicine in Sarasota, FL

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
78.8/100
CMS Quality Rating
6600 UNIVERSITY PKWY SUITE 104, SARASOTA, FL 34240(418) 002-8719 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 22, 2022, Nov 5, 2021, Oct 21, 2021 and 2 more (5 updates tracked since 2019).

About Abdel H Elhoushy Md NPPES

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

ABDEL H ELHOUSHY MD (NPI 1548210305) is an individual pain medicine provider in Sarasota, Florida, licensed in Florida (ME88279) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1548210305
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameABDEL H ELHOUSHYCredential: MD
Location Address6600 UNIVERSITY PKWY SUITE 104Sarasota, FL 34240-9040
Mailing Address6600 University Pkwy Ste 104Sarasota, FL 34240-9040 · (941) 800-2873 · Fax (941) 313-7351
Phone(418) 002-8719
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 11, 2006
Last NPPES UpdateFebruary 22, 20225 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
✔ NPI 1548210305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in FL · ME88279
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 35047 (OK), ME88279 (FL), 35080939 (OH)
Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License 35080939 (OH)
6600 UNIVERSITY PKWY SUITE 104, Sarasota, FL 34240
Open in Google Maps ↗

Other Identifiers 2

Other71998FL · Bcbs Fl
Medicaid268217600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Maintenance Organization of Florida.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

Abdel H Elhoushy 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 ID840103065
PECOS Enrollment IDI20031112000420
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 Reassignments

6

Medicare enrollment records show Abdel Elhoushy reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Smh Physician Services Inc
7.9 mi
Internal Medicine
1700 S TAMIAMI TRL, 1ST FLOOR FPG ADMINISTRATION
Sarasota, FL 34239
  • Reassigned Medicare billing, Florida enrollment
  • 956 clinicians in this Medicare group
NPI 1346295292 (941) 917-8720
Sheridan Healthcorp Inc
8.4 mi
Anesthesiology
3201 S TAMIAMI TRL
Sarasota, FL 34239
  • Reassigned Medicare billing, Florida enrollment
  • 1,973 clinicians in this Medicare group
NPI 1104498583 (877) 328-1119
Sunshine State Anesthesia Partners LLC
14 mi
Anesthesiology
2020 59TH ST W
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 792 clinicians in this Medicare group
NPI 1437757127 (888) 276-1910
Port Charlotte Hma Physician Management LLC
39 mi
Family Medicine
713 E MARION AVE STE 121
Punta Gorda, FL 33950
  • Reassigned Medicare billing, Florida enrollment
  • 69 clinicians in this Medicare group
NPI 1003985573 (941) 833-1760
Baycare Medical Group, Inc.
44 mi
General Practice
2995 DREW ST FL 2
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 2,009 clinicians in this Medicare group
NPI 1043269871 (727) 281-9065
Capital Anesthesia Solutions Of Florida II, LLC
91 mi
Anesthesiology
6101 PINE RIDGE RD
Naples, FL 34119
  • Reassigned Medicare billing, Florida enrollment
  • 767 clinicians in this Medicare group
NPI 1891318481 (239) 348-4000

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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services31 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

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.

78.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.37
Promoting Interoperability99
Improvement Activities40
Cost50.81

Reported Quality Measures

Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
89%289 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%353 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Abdel Elhoushy's NPI number?

The NPI number for Abdel Elhoushy is 1548210305. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Abdel Elhoushy located?

Abdel Elhoushy practices at 6600 University Pkwy Suite 104, Sarasota, FL 34240. The listed phone number is (418) 002-8719.

What is Abdel Elhoushy's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Abdel Elhoushy enrolled in Medicare?

Yes. Abdel Elhoushy 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 Abdel Elhoushy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdel Elhoushy reassigns Medicare benefits to 6 organizations: Smh Physician Services Inc (Sarasota, FL), Sheridan Healthcorp Inc (Sarasota, FL), Sunshine State Anesthesia Partners LLC (Bradenton, FL), Port Charlotte Hma Physician Management LLC (Punta Gorda, FL), Baycare Medical Group, Inc. (Clearwater, FL) and 1 more organization, listed in the Medicare section above. 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 Abdel Elhoushy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abdel Elhoushy accept?

Health plans from CareSource and Oscar Health Maintenance Organization of Florida list Abdel Elhoushy 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 Abdel Elhoushy affiliated with any hospitals?

According to CMS data, Abdel Elhoushy is affiliated with Winter Haven Hospital and Sarasota Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Abdel Elhoushy was last updated on February 22, 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.