Babak Amrollahie
Individual provider Active NPI Family Medicine Physician · Biloxi, MS
NPI 1194187245 · NPPES record last updated Jul 14, 2023
Key facts
- NPI
- 1194187245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 31547 (MS)
- Practice address
- 715A Division St
Biloxi, MS 39530-2209 - Phone
- (228) 374-2494
- Fax
- (228) 396-3457
- NPI assigned
- Mar 27, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Family Health Center, Inc
Practice addresses (Care Compare)
715 A Division St
Biloxi, MS 39530-2209
Phone (229) 374-4991
Hospital & facility affiliations
- Singing River Gulfport
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- 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 |
|---|---|---|---|---|
| I20231031001865 | MS | Practitioner - Family Practice | 6305249160 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Family Health Center Inc | Current |
Accepting new patients | |
| Coastal Family Health Center, Inc | Current |
Accepting new patients | |
| Coastal Family Health Center, Inc | Current | Accepting new patients | |
| Coastal Family Health Center, Inc | Past | Accepting new patients |
Locations
715A Division St
Biloxi, MS 39530
Phone (228) 374-4991
1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494
Interoperability endpoints
- babak.amrollahie.p1@direct.cfhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31547 | MS | Yes |
Addresses
Primary practice location
715A Division St
Biloxi, MS 39530-2209
Mailing address
PO Box 475
Biloxi, MS 39533-0475
Phone (228) 374-2494
Other providers in Biloxi, MS
- Megan Joell Allen
- Ryan Joseph Allen
- Allied Healthcare LLC
- Kelly Almond
- Amedisys Mississippi, LLC
- Anchor Coast Direct Care
- Heather N Andersen
- Brandon C. Anderson
- Conrad Ashton Anderson
- Ellie Rebecca Anderson
All providers in Biloxi, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.