Active NPI
Abdul Jabbar Barhoush, M.D.
- Vascular Surgery Physician
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME21215
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42103 | Other | FL | BLUE CROSS & BLUE SHIELD |
| 053996100 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 21215 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solantic/South Florida, LLC | Current | Accepting new patients | |
| Shands/Solantic Joint Venture, LLC | Current | Accepting new patients | |
| Solantic of Jacksonville, LLC | Family Medicine | Current | Accepting new patients |
| Hma/Solantic Joint Venture, LLC | Current | Accepting new patients | |
| Tenet-Solantic Joint Venture LLC | Past | Accepting new patients | |
| K Swaminathan M.D., P.a. | Past | 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.
-
- Urgent Care Clinic/Center
- Ponte Vedra, FL
- NPI 1407893100
Family Medicine, FL
-
- Surgery Physician
- Ocala, FL
- NPI 1831145861
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1104159755
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.