MOHAMMAD ALI FAISAL, M.D., P.A.
NPI 1689639353
Specialist in Lake City, FL
About Mohammad Ali Faisal, M.d., P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOHAMMAD ALI FAISAL, M.D., P.A. (NPI 1689639353) is a healthcare organization registered as a specialist in Lake City, Florida and active in the NPI registry since April 2006. The organization lists Mohammad Ali Faisal, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mohammad Ali Faisal, M.d., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Mohammad Ali Faisal, M.D., P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Lake City, FL 32025
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mohammad Ali Faisal, M.D., P.A.'s NPI number?
The NPI number for Mohammad Ali Faisal, M.D., P.A. is 1689639353. It was assigned to this organization in the NPPES registry on April 18, 2006.
Where is Mohammad Ali Faisal, M.D., P.A. located?
Mohammad Ali Faisal, M.D., P.A. is located at 1283 SW State Road 47 Suite 104, Lake City, FL 32025. The listed phone number is (386) 758-5985.
What is Mohammad Ali Faisal, M.D., P.A.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Mohammad Ali Faisal, M.D., P.A. enrolled in Medicare?
Yes. Mohammad Ali Faisal, M.D., P.A. is registered in the Medicare PECOS enrollment system.
When is Mohammad Ali Faisal, M.D., P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mohammad Ali Faisal, M.D., P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Mohammad Ali Faisal, M.D., P.A.. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3), Gastroenterology (2) and Pathology (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mohammad Ali Faisal, M.D., P.A. accept?
Health plans from Ambetter Health, Ambetter of Alabama and AvMed list Mohammad Ali Faisal, M.D., P.A. 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 Mohammad Ali Faisal, M.D., P.A. was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mohammad Ali Faisal, M.d., P.a. · NPI 1689639353
Specialist organization in Lake City, Florida. Organization record, active in the CMS NPPES registry since April 18, 2006.
## Identity
- **NPI:** 1689639353 (Entity type: Organization)
- **Enumerated:** April 18, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Mohammad Faisal, PRESIDENT
## Practice location
- **Address:** 1283 SW STATE ROAD 47, SUITE 104, Lake City, FL 32025-0490
- **Phone:** (386) 758-5985 · **Fax:** (386) 758-5987
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Gastroenterology (2), Pathology (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2014
- **Other identifiers:** Medicaid 251378100 (FL); Medicare ID-Type Unspecified 21142 (FL); Other 21142 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1689639353) · Data from the CMS NPPES public registry.