Individual provider Active NPI

Medhat Allam Reheem, MD

  • Specialist
  • Brooksville, FL
National Provider Identifier
1073555397
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0066757 Issued in FL
Practice address
12900 Cortez Blvd
Suite 104
Brooksville, FL 34613-6828
Phone
(352) 596-2233
Fax
(352) 596-4019
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0066757 FL Primary

Addresses

Primary practice location

12900 Cortez Blvd
Suite 104
Brooksville, FL 34613-6828

Mailing address

12900 Cortez Blvd
Suite 104
Brooksville, FL 34613-6828
Phone (352) 596-2233

Other identifiers 1

IdentifierTypeStateIssuer
376892900MedicaidFL

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
I20050429000435 FL Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 6709786494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12900 Cortez Blvd
Suite 204
Brooksville, FL 34613-4898
Phone (352) 576-9200

1447 Oakfield Dr
Brandon, FL 33511-4854
Phone (813) 643-6900

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as individual
Quality
54.11
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mallamreheem@apmc.allscriptsdirect.net
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mreheem300763@direct.tgh.org

Organizations & group practices 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1073555397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 CORTEZ BLVD",
            "address_2": "SUITE 104",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136828",
            "telephone_number": "352-596-2233",
            "fax_number": "352-596-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 CORTEZ BLVD",
            "address_2": "SUITE 104",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136828",
            "telephone_number": "352-596-2233",
            "fax_number": "352-596-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHEEM",
        "first_name": "MEDHAT",
        "middle_name": "ALLAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0066757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376892900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.