Active NPI
Mazen Hakim, M.D.
- Pulmonary Disease Physician
- Gadsden, AL
National Provider Identifier
1114016920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 00017934
- Practice address
- 1026 Goodyear Ave
Suite 302
Gadsden, AL 35903-1102 - Phone
- (256) 543-3877
- Fax
- (256) 543-1539
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 00017934 | AL | Primary |
Addresses
Primary practice location
1026 Goodyear Ave
Suite 302
Gadsden, AL 35903-1102
Mailing address
PO Box 1859
Gadsden, AL 35902-1859
Phone (256) 543-3877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1026 Goodyear Ave
Suite 302
Gadsden, AL 35903-1194
Phone (256) 543-3877
Hospital & facility affiliations
- Gadsden Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.84 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 76.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00017934 | AL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gadsden Lung Center, P.C. Inc | Pulmonary Disease | Current | Accepting new patients |
Locations
1026 Goodyear Ave
Ste 302
Gadsden, AL 35903
Phone (256) 492-7246
Interoperability endpoints
- gadsdenlungcenter.mazenhakim@153061.advancedmd-direct.com
Organizations & group practices 1
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.
-
- Pulmonary Disease Physician
- Gadsden, AL
- NPI 1023348398
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gadsden, AL
- NPI 1225081516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1114016920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1859",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359021859",
"telephone_number": "256-543-3877",
"fax_number": "256-543-1539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 GOODYEAR AVE",
"address_2": "SUITE 302",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359031102",
"telephone_number": "256-543-3877",
"fax_number": "256-543-1539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKIM",
"first_name": "MAZEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AL",
"license": "00017934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.