1. Home
  2. Directory
  3. Florida
  4. Vero Beach
  5. Internal Medicine
  6. NPI Profile

DR. MOHAMED ELSAYED MAHMOUD GHONIMY MD
NPI 1821437427
Internal Medicine in Vero Beach, FL

Active since June 18, 2013PECOS EnrolledAccepts Medicare Assignment
1000 36TH STREET VERO BEACH STREET, VERO BEACH, FL 32960(772) 567-4311(772) 794-1474 Get Directions Write a Review

NPPES record last updated: September 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2024, Mar 20, 2021, Jan 27, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Mohamed Elsayed Mahmoud Ghonimy Md NPPES

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

DR. MOHAMED ELSAYED MAHMOUD GHONIMY MD (NPI 1821437427) is an individual internal medicine provider in Vero Beach, Florida, licensed in Florida (ME157054) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1821437427
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MOHAMED ELSAYED MAHMOUD GHONIMYCredential: MD
Location Address1000 36TH STREET VERO BEACH STREETVero Beach, FL 32960
Mailing Address10372 Sw Green Turtle LnPort St Lucie, FL 34987-6423 · (772) 567-4311 · Fax (772) 794-1474
Phone(772) 567-4311
Fax(772) 794-1474
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 18, 2013
Last NPPES UpdateSeptember 29, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2024
✔ NPI 1821437427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME157054
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.
Also ListedHospitalistTaxonomy 208M00000X · License ME157054 (FL)
1000 36TH STREET VERO BEACH STREET, Vero Beach, FL 32960
Open in Google Maps ↗

Accepted Insurance

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

Dr. Mohamed Elsayed Mahmoud Ghonimy 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 ID446548101
PECOS Enrollment IDI20250827004712
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

4

Medicare enrollment records show Mohamed Ghonimy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Cleveland Clinic Foundation
956 mi
Family Medicine
36040 DETROIT RD, STE A
Avon, OH 44011
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
NPI 1184428336 (886) 636-3318
Bronson Methodist Hospital
1,050 mi
Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
NPI 1417961137 (269) 341-7654
Bronson Lakeview Hospital
1,053 mi
Internal Medicine
451 HEALTH PKWY
Paw Paw, MI 49079
  • Reassigned Medicare billing, Michigan enrollment
  • 251 clinicians in this Medicare group
NPI 1235131137 (269) 657-2550
Advantage Health Saint Mary's Medical Group
1,089 mi
Orthopaedic Surgery
2373 64TH ST SW STE 2700
Byron Center, MI 49315
  • Reassigned Medicare billing, Michigan enrollment
  • 737 clinicians in this Medicare group
NPI 1003515008 (616) 465-5910

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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
342 services151 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
131 services130 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
73 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
63 services51 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
35 services35 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Fairview Hospital

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360077
Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County
Emergency services Birthing friendly

Lutheran Hospital

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360087
Location1730 West 25th StreetCleveland, OH 44113 · Cuyahoga County
Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360364
Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32960 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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 Mohamed Ghonimy's NPI number?

The NPI number for Mohamed Ghonimy is 1821437427. It was assigned to this individual provider in the NPPES registry on June 18, 2013.

Where is Mohamed Ghonimy located?

Mohamed Ghonimy practices at 1000 36th Street Vero Beach Street, Vero Beach, FL 32960. The listed phone number is (772) 567-4311.

What is Mohamed Ghonimy's specialty?

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

Is Mohamed Ghonimy enrolled in Medicare?

Yes. Mohamed Ghonimy 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 Mohamed Ghonimy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Ghonimy reassigns Medicare benefits to 4 organizations: The Cleveland Clinic Foundation (Avon, OH), Bronson Methodist Hospital (Kalamazoo, MI), Bronson Lakeview Hospital (Paw Paw, MI) and Advantage Health Saint Mary's Medical Group (Byron Center, MI). 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 Mohamed Ghonimy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed Ghonimy accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company, Priority Health and Wellpoint list Mohamed Ghonimy 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 Mohamed Ghonimy affiliated with any hospitals?

According to CMS data, Mohamed Ghonimy is affiliated with Fairview Hospital, Lutheran Hospital, Cleveland Clinic and Cleveland Clinic Avon Hospital.

When was this NPI record last updated?

The NPPES record for Mohamed Ghonimy was last updated on September 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.