Ziyad Shawkat Hammoudeh, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A115318 Issued in CA

Practice address

1790 Coral Way
Coral Gables, FL 33145-2771

Phone

(786) 710-1600

Fax

(305) 402-5880

NPI assigned

Apr 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 2

Electronic endpoints 1

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 Sep 28, 2017 through Sep 28, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Grant Stevens, M.D., Inc

  • Plastic Surgery Physician
  • Marina del Rey, CA
  • NPI 1639444714
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Marina Dermatology Associates

  • Dermatology Physician
  • Marina del Rey, CA
  • NPI 1356778476
  NPD (past)

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1154564656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452771",
            "telephone_number": "786-710-1600",
            "fax_number": "305-402-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452771",
            "telephone_number": "786-710-1600",
            "fax_number": "305-402-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOUDEH",
        "first_name": "ZIYAD",
        "middle_name": "SHAWKAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MN",
            "license": "106907",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "BP10041657",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MN",
            "license": "56901",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301092879",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A115318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sunsetplasticsurgery.com",
            "affiliation": "N",
            "address_1": "1790 Coral Way",
            "city": "Coral Gables",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331452771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sydney Charlize Hall
• Yvette Hall, APRN
• Leslie Anne Haller, DMD
• Richard A Hamilton, PHD
• Kim Hildebrand Hammons, PH.D
• Hand Surgery Boutique LLC
• Kristina Marie Hansen, ATC
• Happy Foots of Miami
• Lynne Harkless, PH.D.
• Harmony Centers LLC

• Plastic Surgery Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.

Verify at the official NPI Registry.