Rawand Abdel Wahed, MD
Individual provider Active NPI Pediatrics Physician · Rockledge, FL
NPI 1154930899 · NPPES record last updated Nov 14, 2023
Key facts
- NPI
- 1154930899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME161919 (FL)
- Practice address
- 220 Barton Blvd Unit C-14
Rockledge, FL 32955-2742 - Phone
- (321) 241-6800
- Fax
- (321) 241-6890
- NPI assigned
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240116000632 | FL | Practitioner - Pediatric Medicine | 6406271576 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME161919 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brevard Health Alliance, Inc. | Current |
Accepting new patients | |
| Brevard Health Alliance Inc | Current |
Accepting new patients | |
| Brevard Health Alliance Inc | Past | Accepting new patients | |
| Brevard Health Alliance Inc | Past | Accepting new patients | |
| Brevard Health Alliance Inc | Past | Accepting new patients | |
| Brevard Health Alliance Inc | Past | Accepting new patients | |
| Brevard Health Alliance Inc | Past | Accepting new patients |
Locations
905 Pineda St
Cocoa, FL 32922
775 Malabar Rd
Malabar, FL 32950
Phone (321) 722-8435
2120 Sarno Rd
Melbourne, FL 32935
Phone (321) 952-9696
17 Silver Palm Ave
Melbourne, FL 32901
Phone (321) 725-9041
1315 Valentine St
Melbourne, FL 32901
Phone (321) 344-7677
7227 N US Highway 1
Port St John, FL 32927
Phone (321) 631-3693
220 Barton Blvd
Unit C14
Rockledge, FL 32955
Phone (321) 639-5177
1537 N Singleton Ave
Titusville, FL 32796
Phone (321) 268-0267
2000 Commerce Dr
West Melbourne, FL 32904
Phone (321) 676-6650
Interoperability endpoints
- rawand.wahed@bha.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME161919 | FL | Yes |
Addresses
Primary practice location
220 Barton Blvd Unit C-14
Rockledge, FL 32955-2742
Mailing address
PO Box 1137
Melbourne, FL 32902-1137
Phone (321) 952-9696
Other names
- Dr. Rawand Khaled Abdel Wahed
Other providers in Rockledge, FL
- A Henriquez MD LLC
- A.E. Begui, D.O, P.a.
- Abbas & Khans LLC
- Saima Abbas
- Abc Counseling LLC
- Basem Abdelhamed
- Abdul M Karim PA
- Mayra Alexandra Abelleira Martinez
- Ability Health Services, Inc
- Ahmad Abokhamis
All providers in Rockledge, FL · Pediatrics Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.