Individual provider Active NPI

Mohammad Ali Faghihi, M.D., PH.D.

  • Molecular Genetic Pathology (Pathology) Physician
  • Palmetto Bay, FL
National Provider Identifier
1124667217
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Molecular Genetic Pathology (Pathology) PhysicianTaxonomy code 207ZP0007X
License
DI51888 Issued in FL
Practice address
9000 SW 152ND St Ste 209
Palmetto Bay, FL 33157-1942
Phone
(786) 250-3419
Fax
(786) 250-3074
NPI assigned
Jan 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics Physician 207SG0205X DI51888 FL
Molecular Genetic Pathology (Pathology) Physician 207ZP0007X DI51888 FL Primary

Addresses

Primary practice location

9000 SW 152ND St Ste 209
Palmetto Bay, FL 33157-1942

Mailing address

9000 SW 152ND St Ste 209
Palmetto Bay, FL 33157-1942
Phone (786) 250-3419

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@expressgene.us Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DI51888FLMDPh.D. Medical Genetics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Express Gene LLC Current Accepting new patients

Locations

9000 SW 152nd St
Ste 209
Palmetto Bay, FL 33157
Phone (305) 253-1030

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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1124667217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST STE 209",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571942",
            "telephone_number": "786-250-3419",
            "fax_number": "786-250-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST STE 209",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571942",
            "telephone_number": "786-250-3419",
            "fax_number": "786-250-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGHIHI",
        "first_name": "MOHAMMAD",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0205X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "FL",
            "license": "DI51888",
            "primary": false
        },
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "FL",
            "license": "DI51888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@expressgene.us",
            "affiliation": "N",
            "endpointDescription": "practice email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9000 SW 152nd St Ste 209",
            "city": "Palmetto Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331571942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.