Active NPI
Mohammad Ali Faghihi, M.D., PH.D.
- Molecular Genetic Pathology (Pathology) Physician
- Palmetto Bay, FL
National Provider Identifier
1124667217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Molecular Genetic Pathology (Pathology) Physician
- License
- DI51888
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DI51888 | FL | MD | Ph.D. Medical Genetics Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Medical Laboratory
- Palmetto Bay, FL
- NPI 1184255606
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.