DR. MOHAMAD ELAZIZI (BDS, MSC) – Periodontics, NPI 1417389172

DR. MOHAMAD ELAZIZI (BDS, MSC) is a healthcare provider. based in Weston, Florida. specializing in Periodontics. They hold the professional credentials BDS, MSC. They hold a License No. DN 20817 (FL). The NPI Number for DR. MOHAMAD ELAZIZI (BDS, MSC) is 1417389172

Main info

Male
Name
DR. MOHAMAD ELAZIZI (BDS, MSC)
NPI
1417389172
Phone
(810) 814-2486
Address
160 BONAVENTURE BLVD
Enumeration Date
5 August 2013
Last Update Date
19 January 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:12State licenses:3Digital endpointsOther names

Provider Addresses for DR. MOHAMAD ELAZIZI (BDS, MSC)

  • 160 BONAVENTURE BLVD

    APT# 108

    WESTON, FL 333261417

    Phone: (810) 814-2486

    Type: Mailing

  • 3200 S UNIVERSITY DR

    NOVA SOUTHEASTERN UNIVERSITY CDM-PERIODONTICS

    DAVIE, FL 333282018

    Phone: (954) 262-1640

    Type: Location

  • 1281 FLORIDA AVE S

    ROCKLEDGE, FL 329552439

    Phone: (321) 632-3171

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $502.

Total Amount is formed as General ($502) + Research ($0) + Ownership ($0) = $502.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Straumann USA LLC ($339).

Total Amount

$502

General + Research + Ownership

Payments

7

Total payment records

General Amount

$502

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2018-02-09

PECOS data refreshed: 2026-05-27

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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 33326)

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Reviews

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Frequently asked questions

What is DR. MOHAMAD ELAZIZI (BDS, MSC)'s NPI number?
DR. MOHAMAD ELAZIZI (BDS, MSC)'s NPI is 1417389172 — the number used across U.S. healthcare to identify this provider.
Would DR. MOHAMAD ELAZIZI (BDS, MSC) appear as active to a payer?
You can treat DR. MOHAMAD ELAZIZI (BDS, MSC) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. MOHAMAD ELAZIZI (BDS, MSC)?
At a glance, DR. MOHAMAD ELAZIZI (BDS, MSC) is tied to Periodontics. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. MOHAMAD ELAZIZI (BDS, MSC) registered?
Use Weston, Florida as the headline location for DR. MOHAMAD ELAZIZI (BDS, MSC) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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