Individual provider Active NPI

Abdul Jabbar Barhoush, M.D.

  • Vascular Surgery Physician
  • Ocala, FL
National Provider Identifier
1093746331
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME21215 Issued in FL
Practice address
1054 SW 1St Ave
Ocala, FL 34474-4221
Phone
(352) 732-3036
Fax
(352) 368-3940
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME21215 FL Primary
Family Medicine Physician 207Q00000X ME21215 FL

Addresses

Primary practice location

1054 SW 1St Ave
Ocala, FL 34474-4221

Mailing address

712 SE 3Rd Ave
Ocala, FL 34471-3729
Phone (352) 732-3036

Other identifiers 2

IdentifierTypeStateIssuer
42103OtherFLBLUE CROSS & BLUE SHIELD
053996100MedicaidFL

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
I20120327000523 FL Practitioner - General Surgery 4880854934 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21215FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Solantic/South Florida, LLC CurrentSince Aug 8, 2011 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Aug 8, 2011 Accepting new patients
Solantic of Jacksonville, LLC Family Medicine CurrentSince Aug 8, 2011 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Aug 8, 2011 Accepting new patients
Tenet-Solantic Joint Venture LLC PastSince Nov 22, 2010 Accepting new patients
K Swaminathan M.D., P.a. PastSince Feb 18, 2010 Accepting new patients

Locations

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

Organizations & group practices 6

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1093746331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 SE 3RD AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713729",
            "telephone_number": "352-732-3036",
            "fax_number": "352-368-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744221",
            "telephone_number": "352-732-3036",
            "fax_number": "352-368-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARHOUSH",
        "first_name": "ABDUL",
        "middle_name": "JABBAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME21215",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME21215",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "42103",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053996100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.