NPIMap

Individual provider Active NPI

Bashar Obeidou, MD

  • Interventional Cardiology Physician
  • Miami, FL
National Provider Identifier
1033297031
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME124405 Issued in FL
Practice address
8950 N Kendall Dr
Suite 601
Miami, FL 33176-2144
Phone
(305) 279-4500
NPI assigned
Nov 1, 2006
Last updated
Nov 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME124405 FL Primary
Interventional Cardiology Physician 207RI0011X 63546 TN

Addresses

Primary practice location

8950 N Kendall Dr
Suite 601
Miami, FL 33176-2144

Mailing address

8950 N Kendall Dr
Suite 601
Miami, FL 33176-2139
Phone (305) 279-4500

Other practice location 1

3601 The Vanderbilt Clinic
Nashville, TN 37232-2144
Phone (615) 936-2000

Other identifiers 2

IdentifierTypeStateIssuer
1898759MedicaidLA
240484MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vumc@direct.vumc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL, TN, SC5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20121002000479 AR Practitioner - Cardiovascular Disease (Cardiology) 4385558196 Reassigns benefits to 1 organization
I20160211000022 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 4385558196 Reassigns benefits to 2 organizations
I20220608001360 TN Practitioner - Cardiovascular Disease (Cardiology) 4385558196
I20221121001838 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4385558196 Reassigns benefits to 2 organizations
I20240126002230 SC Practitioner - Cardiovascular Disease (Cardiology) 4385558196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

3793 McDowell LN
Suite 200
Little River, SC 29566-7892
Phone (843) 390-0877

9333 SW 152ND St
Palmetto Bay, FL 33157-1778
Phone (305) 251-2500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24048SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Physician Services, LLC CurrentSince Jan 13, 2023 Accepting new patients
Vanderbilt University Medical Center Family Medicine CurrentSince Nov 14, 2022 Accepting new patients
St Mary's Physician Services LLC CurrentSince Jan 13, 2023 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Mar 23, 2016 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Family Medicine CurrentSince Jan 4, 2026 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Nov 19, 2023 Accepting new patients
Blount Memorial Physician Group, Inc Family Medicine CurrentSince Oct 4, 2024 Accepting new patients
McLeod Physician Associates II Family Medicine CurrentSince Dec 18, 2023 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Mar 23, 2016 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jan 4, 2026 Accepting new patients
McLeod Physician Associates II CurrentSince Dec 18, 2023 Accepting new patients
Willamsburg Regional Hospital PastSince Mar 9, 2020 Accepting new patients
McLeod Physician Associates II Past Accepting new patients
St Marys Physician Services, LLC Interventional Cardiology Past Accepting new patients
Public Health Trust of Dade County Florida PastSince Sep 5, 2021 Accepting new patients
Parkwest Medical Center Past Accepting new patients
Public Health Trust of Dade County Florida Family Medicine Past Accepting new patients
East Jefferson Physicians Group LLC Past Accepting new patients
Lakeside Physician Associates, LLC Past Accepting new patients
Williamsburg Regional Hospital Past Accepting new patients

Locations

101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345

2205 W Main St
Russellville, AR 72801
Phone (479) 890-2654

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1611 NW 12th Ave
Bldg 5TH
Miami, FL 33136
Phone (305) 585-1280

9380 SW 150th St
Ste 295
Miami, FL 33176
Phone (305) 256-5018

100 NW 170th St
Ste 410
North Miami Beach, FL 33169
Phone (305) 606-7028

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

Dept A T 40379
Atlanta, GA 31192

506 E Cheves St
#202
Florence, SC 29506

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

3793 McDowell Ln
Ste 200
Little River, SC 29566
Phone (843) 390-0877

3485 Mitchell St
Loris, SC 29569
Phone (843) 390-0877

162 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 238-6161

463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100

1301 Medical Center Dr
Nashville, TN 37232
Phone (615) 343-4882

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bashar.obeidou.p1@direct.bmpg.nextgenshare.com
  • Direct secure messaging: bobeidou88659@directmcleodehealth.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 20

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

View all 20

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1033297031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR",
            "address_2": "SUITE 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762139",
            "telephone_number": "305-279-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR",
            "address_2": "SUITE 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762144",
            "telephone_number": "305-279-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 The Vanderbilt Clinic",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372322144",
            "country_code": "US",
            "telephone_number": "615-936-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBEIDOU",
        "first_name": "BASHAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME124405",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "63546",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1898759",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240484",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vumc@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372322144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.