Individual provider Active NPI

Mohammad Jahanzeb, MD

  • Medical Oncology Physician
  • Boca Raton, FL
National Provider Identifier
1114919503
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME68929 Issued in FL
Practice address
2155 W Maya Palm Dr
Boca Raton, FL 33432-7972
Phone
(910) 483-0486
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 36771 TN
Hematology & Oncology Physician 207RH0003X 17856 MS
Hematology & Oncology Physician 207RH0003X E3595 AR
Medical Oncology Physician 207RX0202X ME68929 FL Primary

Addresses

Primary practice location

2155 W Maya Palm Dr
Boca Raton, FL 33432-7972

Mailing address

2155 W Maya Palm Dr
Boca Raton, FL 33432-7972
Phone (910) 483-0486

Other practice location 1

1192 E Newport Center Dr
Suite 100
Deerfield Beach, FL 33442-7753
Phone (954) 571-0111

Other practice location 2

5130 Linton Blvd Ste B4
Delray Beach, FL 33484-6595
Phone (561) 808-0098

Other identifiers 10

IdentifierTypeStateIssuer
3875593MedicaidTN
135154OtherTNBETTER HEALTH TNCARE
99443OtherARBLUE CROSS BLUE SHIELD
3823561OtherCIGNA
01737521MedicaidMS
24178OtherTNTLC TNCARE
4047652OtherTNBLUE CROSS BLUE SHIELD
101167900MedicaidFL
4221351OtherAETNA
148871001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3595ARMDHematology & Oncology Physician
17856MSMDHematology & Oncology Physician
36771TNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Cancer Centers Inc Current Accepting new patients

Locations

21020 State Road 7
Boca Raton, FL 33428
Phone (561) 883-7502

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECECDD/Endpoint/ECECDD

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1114919503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 W MAYA PALM DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327972",
            "telephone_number": "910-483-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 W MAYA PALM DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327972",
            "telephone_number": "910-483-0486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1192 E Newport Center Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334427753",
            "country_code": "US",
            "telephone_number": "954-571-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5130 Linton Blvd Ste B4",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846595",
            "country_code": "US",
            "telephone_number": "561-808-0098",
            "fax_number": "561-496-0592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAHANZEB",
        "first_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "36771",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MS",
            "license": "17856",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "E3595",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME68929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3875593",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BETTER HEALTH TNCARE",
            "identifier": "135154",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "99443",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3823561",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01737521",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC TNCARE",
            "identifier": "24178",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4047652",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101167900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4221351",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148871001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.