DR. MOSTAFA EL GHISSASSI (MD) – Pediatrics Physician, NPI 1114017811
Pediatrics Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MOSTAFA EL GHISSASSI (MD)
11260 Sullivan St
Riverview, FL 335782140
Phone: (813) 689-7571
Type: Location
91 Chenango Bridge Rd
Binghamton, NY 139011293
Phone: (607) 648-6667
Fax: (607) 648-4141
Type: Location
4972 Town Center Pkwy Unit 301
Jacksonville, FL 322468596
Phone: (904) 642-6100
Type: Location
9611 W BROWARD BLVD
PLANTATION, FL 333242334
Phone: (954) 924-7000
Type: Location
2995 DREW ST
CLEARWATER, FL 337593012
Phone: (727) 281-9065
Type: Mailing
346, Grand Avenue, Iowa City, Johnson County, Iowa, 52246, United States
JOHNSON CITY, NY 137902580
Phone: (607) 729-8156
Fax: (607) 729-3982
Type: Mailing
91, Chenango Bridge Road, City of Binghamton, Town of Chenango, Broome County, New York, 13901, United States
BINGHAMTON, NY 139011293
Phone: (607) 648-6667
Fax: (607) 648-4141
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250211000747 | I | Pediatric Medicine | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33578)
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