Rawand Abdel Wahed, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME161919 Issued in 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

Last updated

Nov 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rawand Khaled Abdel Wahed Other name

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rawand.wahed@bha.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brevard Health Alliance Inc

  • Federally Qualified Health Center (FQHC)
  • Melbourne, FL
  • NPI 1013355726
  Medicare reassignment NPD
• Brevard Health Alliance, Inc.

  dba BHA Silver Palm Pharmacy

  • Community/Retail Pharmacy
  • Melbourne, FL
  • NPI 1508735150
  NPD
• Brevard Health Alliance Inc

  dba Brevard Health Alliance

  • Federally Qualified Health Center (FQHC)
  • Cocoa, FL
  • NPI 1104549484
  NPD (past)
• Brevard Health Alliance Inc

  dba Brevard Health Alliance

  • Federally Qualified Health Center (FQHC)
  • Melbourne, FL
  • NPI 1114640885
  NPD (past)
• Brevard Health Alliance Inc

  • Federally Qualified Health Center (FQHC)
  • Melbourne, FL
  • NPI 1528115458
  NPD (past)
• Brevard Health Alliance Inc

  • Federally Qualified Health Center (FQHC)
  • Malabar, FL
  • NPI 1790056877
  NPD (past)
• Brevard Health Alliance Inc

  dba BHA Evans Center Clinic

  • Federally Qualified Health Center (FQHC)
  • Palm Bay, FL
  • NPI 1871070417
  NPD (past)

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1154930899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329021137",
            "telephone_number": "321-952-9696",
            "fax_number": "321-952-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BARTON BLVD UNIT C-14",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552742",
            "telephone_number": "321-241-6800",
            "fax_number": "321-241-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL WAHED",
        "first_name": "RAWAND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME161919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAWAND",
            "last_name": "ABDEL WAHED",
            "middle_name": "KHALED",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mayra Alexandra Abelleira Martinez, M.D.
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• Ahmad Abokhamis, M.D.

• Pediatrics Physician in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.