Mowaffak Atfeh, M.D.

Key facts

NPI

1124215249

Entity type

Individual (NPI type 1)

Primary specialty

Interventional Cardiology Physician 207RI0011X

License

ME54349 (FL)

Practice address

11373 Cortez Blvd
Suite 307
Brooksville, FL 34613-5414

Phone

(352) 596-1616

Fax

(352) 596-5707

NPI assigned

Oct 2, 2007

Sex

Male

Sole proprietor

Yes

Organizations & group practices 2

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.

• Mowaffak Atfeh MD PA Cardiovascular Disease Physician · Brooksville, FL · NPI 1467586065
  Medicare reassignment NPD Authorized official CARDIOVASCULAR DISEASE · FL
• Tampa General Hospital General Acute Care Hospital · Tampa, FL · NPI 1124558929
  NPD

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Florida, Inc. General Acute Care Hospital · Brooksville, FL · NPI 1013961838
  Care Compare affiliation Hospital
• HCA Health Services of Florida, Inc. General Acute Care Hospital · Hudson, FL · NPI 1992759419
  Care Compare affiliation Hospital
• Tampa General Hospital Hernando LLC General Acute Care Hospital · Brooksville, FL · NPI 1063294197
  Care Compare affiliation Hospital
• Tampa General Hospital Hernando, LLC General Acute Care Hospital · Spring Hill, FL · NPI 1275305013
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Cardiovascular Disease (Cardiology)
Also: Internal Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Oak Hill Hospital Hospital · Brooksville, FL · CCN 100264
• HCA Florida Bayonet Point Hospital Hospital · Hudson, FL · CCN 100256
• Tampa General Hospital Brooksville Hospital · Brooksville, FL · CCN 100071

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100 (individual)

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles (2 of 3)

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: matfeh295843@direct.tgh.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 2, 2007.

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1124215249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "SUITE 307",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-596-1616",
            "fax_number": "352-596-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "SUITE 307",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-596-1616",
            "fax_number": "352-596-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATFEH",
        "first_name": "MOWAFFAK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME54349",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME54349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Brooksville, FL · Interventional Cardiology Physician in Florida