Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114017811 Individual Practitioner Male Practitioner

Dr. Mostafa El Ghissassi , MD

Pediatrics • Plantation, FL

Professional Overview & Biography Verified Profile Summary

Dr. Mostafa El Ghissassi, MD is a registered healthcare professional specializing in Pediatrics in Plantation, FL. Practice services are available at 9611 W BROWARD BLVD under active NPI credentials.

Frequently performed procedures and clinical services include vaccine for influenza for administration into muscle, 0.5 ml dosage, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9611 W Broward Blvd

Plantation, FL 333242334

Telephone 9549247000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Plantation, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
85 Specialists

Practicing in Plantation, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
18.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage
14 14 $20.00 $19.58
G0008 Administration of influenza virus vaccine
13 13 $24.00 $16.27

Medical Specialties & State Licenses

CMS Verified: 2025-05-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME152727

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NY 226312

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02676355 (NY)

Secondary Practice Locations

11260 Sullivan St

Riverview, FL 335782140

Phone: 8136897571

91 Chenango Bridge Rd

Binghamton, NY 139011293

Phone: 6076486667

4972 Town Center Pkwy Unit 301

Jacksonville, FL 322468596

Phone: 9046426100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners

Doctor of Medicine (M.D.)

Tashika Gomez , PNP

Nurse Practitioner - Pediatrics

NPI 1053575829

Pediatric Nurse Practitioner

Johanna Roche , APRN

Nurse Practitioner - Pediatrics

NPI 1053816272

Advanced Practice Registered Nurse

Todd Moccabee

Nurse Practitioner - Family

NPI 1104481241
Christine Dolgin , APRN

Nurse Practitioner - Pediatrics

NPI 1205942042

Advanced Practice Registered Nurse

NPI 1275092231

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address May 06, 2025

Registered at 2995 DREW ST, CLEARWATER, FL 337593012 (Tel: 7272819065)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2025

Pediatrics (License #ME152727 in FL)

📍
Updated Practice Location September 14, 2023

Registered at 9611 W BROWARD BLVD, PLANTATION, FL 333242334 (Tel: 9549247000)

NPI Profile Active November 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 28, 2012

Registered at 91 CHENANGO BRIDGE RD, BINGHAMTON, NY 139011293 (Tel: 6076486667)

📍
Updated Business Mailing Address November 28, 2012

Registered at 346 GRAND AVE, JOHNSON CITY, NY 137902580 (Tel: 6077298156)

👤
Provider Name / Credentials Updated November 28, 2012

Recorded as MOSTAFA EL GHISSASSI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2012

Pediatrics (License #226312 in NY)

🟢
Initial NPI Registration & Enumeration October 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114017811
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: May 06, 2025
Sole Proprietor: No

Mailing Address

2995 Drew St

Clearwater, FL 337593012

Phone: 7272819065

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.