Individual provider Active NPI

Maha Botros Mikhail Wassef, MD

  • Cardiovascular Disease Physician
  • Louisville, KY
National Provider Identifier
1063511095
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME132417 Issued in FL
Practice address
4003 Kresge Way
Suite 221
Louisville, KY 40207-4652
Phone
(502) 897-7107
Fax
(502) 897-7613
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036126126 IL
Cardiovascular Disease Physician 207RC0000X 0101240731 VA
Cardiovascular Disease Physician 207RC0000X TP865 KY
Cardiovascular Disease Physician 207RC0000X ME132417 FL Primary
Nuclear Cardiology Physician 207UN0901X 040740 CT
Nuclear Cardiology Physician 207UN0901X 0101240731 VA
Cardiovascular Disease Physician 207RC0000X 040740 CT
Cardiovascular Disease Physician 207RC0000X 25MA08180200 NJ
Nuclear Cardiology Physician 207UN0901X 25MA08181200 NJ

Addresses

Primary practice location

4003 Kresge Way
Suite 221
Louisville, KY 40207-4652

Mailing address

PO Box 950248
Louisville, KY 40295-0248
Phone (502) 489-5730

Other practice location 1

3800 W 203rd St
Olympia Fields, IL 60461-1184
Phone (708) 852-2699

Other practice location 2

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-8870

Other practice location 3

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 312-3494

Other practice location 4

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (844) 740-4445

Other identifiers 2

IdentifierTypeStateIssuer
W0001OtherFLHFMG
00140740300MedicaidCT

Other names 1

  • Maha B Mikhail Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, VA, FL, GA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20110114000354 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6608972674 Reassigns benefits to 3 organizations
I20160309002372 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6608972674 Reassigns benefits to 2 organizations
I20191011000322 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - HospitalistPractitioner - Interventional CardiologyPractitioner - Internal Medicine 6608972674 Reassigns benefits to 1 organization
I20240112000391 GA Practitioner - Cardiovascular Disease (Cardiology) 6608972674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

111 Medical Pkwy
FL 2
Chesapeake, VA 23320-0302
Phone (757) 312-4047

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

19 Doctors Way
Suite C
Blairsville, GA 30512-1117
Phone (706) 439-6380

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-3934

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040740CTMDCardiovascular Disease Physician
ME132417FLMDCardiovascular Disease Physician
036126126ILMDCardiovascular Disease Physician
0101240731VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group CurrentSince Dec 19, 2024 Accepting new patients
Health First Medical Group, LLC CurrentSince Mar 2, 2026 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Dec 10, 2020 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Mar 31, 2018 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Sentara Medical Group Cardiovascular Disease CurrentSince Jul 1, 2023 Accepting new patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease CurrentSince Jan 10, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Rockford Health Physicians CurrentSince Oct 7, 2019 Accepting new patients
Health First Medical Group, LLC Cardiovascular Disease CurrentSince Mar 2, 2026 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Mar 31, 2018 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jun 1, 2024 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Dec 19, 2024 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Dec 10, 2020 Accepting new patients
Heartcare Midwest , LTD Cardiovascular Disease Past Accepting new patients
Connecticut Heart Physicians, Inc. Cardiovascular Disease Past Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

19 Doctors Way
Ste C
Blairsville, GA 30512
Phone (706) 439-6380

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

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

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

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

2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

111 Medical Pkwy
Fl 2
Chesapeake, VA 23320
Phone (757) 312-4047

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: maha.mikhail.wassef.1@5072.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1063511095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950248",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950248",
            "telephone_number": "502-489-5730",
            "fax_number": "502-489-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 KRESGE WAY",
            "address_2": "SUITE 221",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074652",
            "telephone_number": "502-897-7107",
            "fax_number": "502-897-7613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 W 203rd St",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611184",
            "country_code": "US",
            "telephone_number": "708-852-2699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Gresham Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-8870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-312-3494",
            "fax_number": "321-952-6946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20201 Crawford Ave",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611010",
            "country_code": "US",
            "telephone_number": "844-740-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKHAIL WASSEF",
        "first_name": "MAHA",
        "middle_name": "BOTROS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036126126",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101240731",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "TP865",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME132417",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CT",
            "license": "040740",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "VA",
            "license": "0101240731",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "040740",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08180200",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "25MA08181200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFMG",
            "identifier": "W0001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00140740300",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAHA",
            "last_name": "MIKHAIL",
            "middle_name": "B",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.