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Active NPI 1245752021 Individual Practitioner Male Practitioner

Dr. Fouad Sam Moursi , MD

General Practice • Winter Haven, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Fouad Moursi, MD is a certified General Practice practicing in Winter Haven, FL. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Moursi delivers high-quality medical care to the local community at 1514 1ST ST N.

Dr. Moursi is affiliated with Central Florida Health Care Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1514 1st St N

Winter Haven, FL 338812476

Telephone 8662348534
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Winter Haven, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +1.6 yrs vs City Avg
City Avg: 21.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Winter Haven, FL (2490 Statewide)

Telehealth Adoption Rate
22.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moursi (23 Years) 23 Yrs
Winter Haven Specialty Average (21.4 Years) 21.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
30 30 $266.00 $108.10
99213 Established patient office or other outpatient visit, typically 15 minutes
25 25 $180.00 $88.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
21 21 $401.00 $156.89
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
18 18 $100.00 $45.23
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
18 18 $197.78 $51.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 12 $263.00 $121.87

Medical Specialties & State Licenses

CMS Verified: 2022-03-17
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN1397

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License PR 22415

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License PR 22415

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Hospital & Practice Group Affiliations

Central Florida Health Care Inc

1514 1st St N, Winter Haven, FL 338812476

Phone: 8662348534

Practice Associates & Co-Workers

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

40 Associated Practitioners
Roseline Blanc , APRN-C

Nurse Practitioner - Family

NPI 1013431873

APRNC

Dr. Ria Sajnani , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1013536606

Doctor of Podiatric Medicine

Dr. Syed Qadri , MD

Obstetrics & Gynecology

NPI 1053493171

Doctor of Medicine (M.D.)

NPI 1063443612

Doctor of Medicine (M.D.)

NPI 1083097406

Doctor of Medicine (M.D.)

Ingrid Atiles

Psychologist - Clinical

NPI 1093096596

Career & Practice History Timeline

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

21 Historical Events
📍
Updated Practice Location March 17, 2022

Registered at 1514 1ST ST N, WINTER HAVEN, FL 338812476 (Tel: 8662348534)

📍
Updated Business Mailing Address March 17, 2022

Registered at 47 5TH ST NW, WINTER HAVEN, FL 338814672

📍
Updated Business Mailing Address December 02, 2021

Registered at 100 CALLE MANGO BEACH, THE VILLAGE AT THE HILL, CEIBA, PR 00735 (Tel: 2019250950)

👤
Provider Name / Credentials Updated December 02, 2021

Recorded as FOUAD MOURSI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2021

Emergency Medicine (License #22415 in PR)

👤
Provider Name / Credentials Updated August 06, 2021

Recorded as FOUAD MOURSI, PA

👤
Provider Name / Credentials Updated July 06, 2021

Recorded as FOUAD MOURSI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2021

Family Medicine (License #22415 in PR)

📍
Updated Practice Location June 05, 2020

Registered at 6401 AMERICA BLVD, HYATTSVILLE, MD 207822357 (Tel: 8007495191)

📍
Updated Business Mailing Address June 05, 2020

Registered at 6401 AMERICA BLVD, HYATTSVILLE, MD 207822357 (Tel: 8007495191)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2020

Physician Assistant (License #C06612 in MD)

📍
Updated Practice Location March 23, 2018

Registered at 100 E CARROLL ST, SALISBURY, MD 218015493 (Tel: 8007495191)

📍
Updated Business Mailing Address March 23, 2018

Registered at 100 E CARROLL ST, SALISBURY, MD 218015493 (Tel: 8007495191)

👤
Provider Name / Credentials Updated March 23, 2018

Recorded as FOUAD MOURSI

👤
Provider Name / Credentials Updated February 25, 2018

Recorded as FOUAD MOURSI

NPI Profile Active August 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2017

Registered at 3030 COVINGTON PIKE STE 200, MEMPHIS, TN 381285048 (Tel: (901) 383-8889)

📍
Updated Business Mailing Address August 12, 2017

Registered at 2443 UNION AVE, APT 3, MEMPHIS, TN 38112 (Tel: 2019250950)

👤
Provider Name / Credentials Updated August 12, 2017

Recorded as FOUAD MOURSI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2017

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 12, 2017

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: 1245752021
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2017
Last Update: March 17, 2022
Sole Proprietor: Yes

Mailing Address

47 5th St Nw

Winter Haven, FL 338814672

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.