MOKHTAR KHALED ELSAYED RADWAN DO
NPI 1831694918
Internal Medicine in Tavares, FL

Q: What is Mokhtar Radwan's NPI number?

The NPI number for Mokhtar Radwan is 1831694918. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Q: What is Mokhtar Radwan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mokhtar Radwan was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment

1825 SALK AVE, TAVARES, FL 32778(352) 343-1158(352) 343-8106 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 19, 2018, Mar 29, 2018 (2 updates tracked since 2018).

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About Mokhtar Khaled Elsayed Radwan Do NPPES

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

MOKHTAR KHALED ELSAYED RADWAN DO (NPI 1831694918) is an individual internal medicine provider in Tavares, Florida, licensed in Florida (OS21222) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Waterman, and maintains a secondary practice location in Sanford.

NPPES Registry Identity

NPI1831694918

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMOKHTAR KHALED ELSAYED RADWANCredential: DO

Location Address1825 SALK AVETavares, FL 32778-4311

Mailing Address2111 Sw 20th PlOcala, FL 34471-7734 · (352) 622-4251

Phone(352) 343-1158

Fax(352) 343-8106

Sole ProprietorYes

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2018

Enumeration DateMarch 29, 2018

Last NPPES UpdateMay 2, 20252 updates tracked since enumeration

NPPES CertifiedMay 2, 2025

✔ NPI 1831694918 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 · OS21222

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 ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License OS21222 (FL)

1825 SALK AVE, Tavares, FL 32778

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Secondary Practice Location 1

Location 14901 International Pkwy Ste 1031Sanford, FL 32771-8603 · Phone (352) 343-1158 · Fax (352) 343-8106

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Mokhtar Khaled Elsayed Radwan Do 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 ID8224476577

PECOS Enrollment IDI20250514000384

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 Mokhtar Radwan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Institute Of Central Florida, LLC

36 mi

Specialist

2111 SW 20TH PLACE
Ocala, FL 34471

Reassigned Medicare billing, Florida enrollment
74 clinicians in this Medicare group

NPI 1679666598 (352) 622-4251

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

Hospital Affiliations CMS Care Compare

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

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100057

Location1000 Waterman WayTavares, FL 32778 · Lake County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32778 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.

JORGE O. DIAZ, MD PA

Internal Medicine (Clinical Cardiac Electrophysiology)