Individual provider Active NPI

Ghassan Edward Fahel, D.O.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1023038809
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7046 Issued in FL
Practice address
1717 N Bayshore Dr
Suite 230
Miami, FL 33132-1180
Phone
(305) 374-7011
Fax
(305) 675-2630
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS7046 FL Primary

Addresses

Primary practice location

1717 N Bayshore Dr
Suite 230
Miami, FL 33132-1180

Mailing address

1717 N Bayshore Dr
Suite 230
Miami, FL 33132-1180
Phone (305) 374-7011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000082 FL Practitioner - Family Practice 9436135787

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mbod LLC Family Medicine CurrentSince Feb 28, 2007 Accepting new patients
Gave Corporation Past Accepting new patients

Locations

1717 N Bayshore Dr
Ste 230
Miami, FL 33132
Phone (305) 374-7011

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1023038809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N BAYSHORE DR",
            "address_2": "SUITE 230",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321180",
            "telephone_number": "305-374-7011",
            "fax_number": "305-675-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N BAYSHORE DR",
            "address_2": "SUITE 230",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321180",
            "telephone_number": "305-374-7011",
            "fax_number": "305-675-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHEL",
        "first_name": "GHASSAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.