Individual provider Active NPI

Firas R Muwalla, MD

  • Hematology & Oncology Physician
  • Merritt Island, FL
National Provider Identifier
1013979566
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME94732 Issued in FL
Practice address
225 Cone Rd
Merritt Island, FL 32952-3114
Phone
(321) 453-1361
Fax
(321) 452-4939
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME94732 FL Primary

Addresses

Primary practice location

225 Cone Rd
Merritt Island, FL 32952-3114

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Other practice location 1

8725 N Wickham Rd Ste 103
Melbourne, FL 32940-2240
Phone (321) 253-4673

Other identifiers 2

IdentifierTypeStateIssuer
274921100MedicaidFL
37011XOtherFLFL MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221013001578 CO Practitioner - Hematology/Oncology 1557374014 Reassigns benefits to 2 organizations
I20260219001214 IL Practitioner - Hematology/Oncology 1557374014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platte Valley Medical Group LLCGroup PAC ID 5890054100, 120 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

1606 Prairie Ctr Pkwy
Brighton, CO 80601-4005

4859 Yampa St
Denver, CO 80249-7760
Phone (303) 498-1885

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

Hospital & facility affiliations

  • Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004
  • Javon Bea Hospital Hospital, Rockford, IL, CCN 140239
  • Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116
  • Saint Joseph Hospital Hospital, Denver, CO, CCN 060028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 15, 2022 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Aug 15, 2022 Accepting new patients
Rockford Health Physicians CurrentSince Feb 1, 2026 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 15, 2022 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Aug 15, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC Hematology & Oncology Current Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1825 N Marion St
Denver, CO 80218
Phone (303) 318-3434

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

400 Indiana St
Ste 300
Golden, CO 80401
Phone (303) 403-7333

340 Exempla Cir
Lafayette, CO 80026
Phone (303) 673-1600

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

Interoperability endpoints

  • Direct secure messaging: firas.muwalla@health-first.direct.varian.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1013979566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CONE RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523114",
            "telephone_number": "321-453-1361",
            "fax_number": "321-452-4939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8725 N Wickham Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402240",
            "country_code": "US",
            "telephone_number": "321-253-4673",
            "fax_number": "321-253-4338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUWALLA",
        "first_name": "FIRAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME94732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274921100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE",
            "identifier": "37011X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.