Active NPI
Mohammad Jahanzeb, MD
- Medical Oncology Physician
- Boca Raton, FL
National Provider Identifier
1114919503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- ME68929
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3875593 | Medicaid | TN | |
| 135154 | Other | TN | BETTER HEALTH TNCARE |
| 99443 | Other | AR | BLUE CROSS BLUE SHIELD |
| 3823561 | Other | CIGNA | |
| 01737521 | Medicaid | MS | |
| 24178 | Other | TN | TLC TNCARE |
| 4047652 | Other | TN | BLUE CROSS BLUE SHIELD |
| 101167900 | Medicaid | FL | |
| 4221351 | Other | AETNA | |
| 148871001 | Medicaid | AR |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| E3595 | AR | MD | Hematology & Oncology Physician |
| 17856 | MS | MD | Hematology & Oncology Physician |
| 36771 | TN | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Cancer Centers Inc | Current | Accepting new patients |
Locations
21020 State Road 7
Boca Raton, FL 33428
Phone (561) 883-7502
Interoperability endpoints
- 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.
-
- Specialist
- Boca Raton, FL
- NPI 1962490425
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.