Active NPI
Amir Fahmy MD PA
- Internal Medicine Physician
- Palm Beach Gardens, FL
National Provider Identifier
1083882328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0076114
- Legal business name
- AMIR FAHMY MD PA
- Practice address
- 3345 Burns Rd
Ste#204
Palm Beach Gardens, FL 33410-4324 - Phone
- (561) 622-7604
- Fax
- (561) 622-7542
- NPI assigned
- Feb 20, 2008
- Last updated
- Nov 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amir Fahmy, MD
- Title
- Physician
- Phone
- (561) 622-7604
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0076114 | FL | Primary |
Addresses
Primary practice location
3345 Burns Rd
Ste#204
Palm Beach Gardens, FL 33410-4324
Mailing address
3345 Burns Rd
Ste#204
Palm Beach Gardens, FL 33410-4324
Phone (561) 622-7604
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912998436 | Other | FL | INDIVIDUAL NPI |
| 265237400 | Medicaid | FL |
Other names 1
- FAMILY MEDICAL CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Palm Beach Gardens, FL
- NPI 1912998436
-
- Family Nurse Practitioner
- Palm Beach Gardens, FL
- NPI 1023629326
-
- Internal Medicine Physician
- Palm Beach Gardens, FL
- NPI 1245218296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352160000000",
"number": "1083882328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3345 BURNS RD",
"address_2": "STE#204",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104324",
"telephone_number": "561-622-7604",
"fax_number": "561-622-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 BURNS RD",
"address_2": "STE#204",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104324",
"telephone_number": "561-622-7604",
"fax_number": "561-622-7542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMIR FAHMY MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-20",
"last_updated": "2012-11-06",
"status": "A",
"authorized_official_last_name": "FAHMY",
"authorized_official_first_name": "AMIR",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "561-622-7604",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0076114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1912998436",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265237400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FAMILY MEDICAL CENTER",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.