Individual provider Active NPI

Maha Wasef, MD

  • Anesthesiology Physician
  • Clarksdale, MS
National Provider Identifier
1093851370
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
17879 Issued in MS
Practice address
1970 Hospital Dr
Clarksdale, MS 38614-7202
Phone
(662) 627-3211
Fax
(662) 627-5440
NPI assigned
Jan 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 17879 MS Primary

Addresses

Primary practice location

1970 Hospital Dr
Clarksdale, MS 38614-7202

Mailing address

580 Friars Point Rd
Clarksdale, MS 38614-9734
Phone (662) 624-8000

Other identifiers 1

IdentifierTypeStateIssuer
05479398MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20040330001176 MS Practitioner - Anesthesiology 0749272920 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifelinc Anesthesia PLLCGroup PAC ID 0941347447, 169 clinicians

Practice addresses (Care Compare)

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 232-8100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 18, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 18, 2021 Accepting new patients
Delta Health System Anesthesiology CurrentSince May 8, 2021 Accepting new patients
Delta Health System Anesthesiology CurrentSince Dec 7, 2021 Accepting new patients
Lifelinc Anesthesia, PLLC Anesthesiology CurrentSince Jul 19, 2021 Accepting new patients
Perioperative Services of Mississippi, LLC Anesthesiology CurrentSince Dec 8, 2022 Accepting new patients
Clarksdale Hma Physician Management LLC Anesthesiology Past Accepting new patients
University Anesthesia Services, PLLC Anesthesiology Past Accepting new patients

Locations

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

160 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

1970 Hospital Dr
Clarksdale, MS 38614
Phone (662) 624-3185

785 Ohio Ave
Ste 3B
Clarksdale, MS 38614
Phone (662) 624-5026

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393

1400 E Union St
Greenville, MS 38703
Phone (601) 427-0422

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

129 Jefferson Davis Blvd
Natchez, MS 39120
Phone (601) 445-6200

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979

Interoperability endpoints

  • Direct secure messaging: nwmmwasef@yourcarecommunity.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093851370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 FRIARS POINT RD",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386149734",
            "telephone_number": "662-624-8000",
            "fax_number": "662-627-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 HOSPITAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147202",
            "telephone_number": "662-627-3211",
            "fax_number": "662-627-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASEF",
        "first_name": "MAHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "17879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05479398",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

Verify at the official NPI Registry.