Organization Active NPI

John P Hakim MD & Associates PA

  • Cardiovascular Disease Physician
  • Prince Frederick, MD
National Provider Identifier
1043447576
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D47748 Issued in MD
Legal business name
JOHN P HAKIM MD & ASSOCIATES PA
Practice address
135 W Dares Beach Rd
Suite 101
Prince Frederick, MD 20678-3119
Phone
(443) 880-5146
Fax
(301) 856-5454
NPI assigned
Jun 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
John Pierre Hakim, MDNPI 1730137688
Title
Owner
Phone
(443) 880-5146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X D47748 MD Primary

Addresses

Primary practice location

135 W Dares Beach Rd
Suite 101
Prince Frederick, MD 20678-3119

Mailing address

3195 Lacrosse CT
Dunkirk, MD 20754-2926
Phone (443) 880-5146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090825000037 MD Part B Supplier - Clinic/Group Practice 1052465101 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton, MD
O20090911000472 DC Part B Supplier - Clinic/Group Practice 1052465101 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton, MD

National Provider Directory

National Provider Directory
Tax ID family
John P Hakim MD and Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 Steeple Chase Dr
Ste 103
Prince Frederick, MD 20678
Phone (301) 862-3338

2068 Crain Hwy
Waldorf, MD 20601
Phone (301) 638-7700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1043447576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 LACROSSE CT",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207542926",
            "telephone_number": "443-880-5146",
            "fax_number": "301-856-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W DARES BEACH RD",
            "address_2": "SUITE 101",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783119",
            "telephone_number": "443-880-5146",
            "fax_number": "301-856-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P HAKIM MD & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "HAKIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PIERRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-880-5146",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D47748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.