Individual provider Active NPI

Farhat Mehmood, MD

  • Clinical Cardiac Electrophysiology Physician
  • Crestview, FL
National Provider Identifier
1205884178
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
W2196 Issued in TX
Practice address
129 E Redstone Ave Ste a
Crestview, FL 32539-5350
Phone
(850) 682-7212
Fax
(850) 682-0220
NPI assigned
May 4, 2006
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00021666 AL
Internal Medicine Physician 207R00000X W2196 TX
Internal Medicine Physician 207R00000X 49357 WI
Cardiovascular Disease Physician 207RC0000X 247291 TN
Clinical Cardiac Electrophysiology Physician 207RC0001X 2025052182 MO
Clinical Cardiac Electrophysiology Physician 207RC0001X C3898 KY
Clinical Cardiac Electrophysiology Physician 207RC0001X ME110965 FL
Clinical Cardiac Electrophysiology Physician 207RC0001X W2196 TX Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X 247291 TN

Addresses

Primary practice location

129 E Redstone Ave Ste a
Crestview, FL 32539-5350

Mailing address

5005 Avocet LN
Pensacola, FL 32514-8082
Phone (205) 427-7320

Other practice location 1

1301 Pleasant Valley Rd Ste 202
Owensboro, KY 42303-9774
Phone (270) 417-7500

Other practice location 2

1225 Graham Rd Ste C-2310
Florissant, MO 63031-8023
Phone (314) 953-6300

Other practice location 3

2050 Meadowview Pkwy
Kingsport, TN 37660-7332
Phone (423) 230-5000

Other practice location 4

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 644-3278

Other identifiers 1

IdentifierTypeStateIssuer
009936574MedicaidAL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address fmehmood131113@direct.owensborohealth.org
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL, AL, OH, MI, KY, TX7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20070629000131 WI Practitioner - Cardiac ElectrophysiologyPractitioner - Internal Medicine 0941293286 Reassigns benefits to 1 organization
I20111024000451 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0941293286 Reassigns benefits to 2 organizations
I20210803003577 AL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 0941293286 Reassigns benefits to 1 organization
I20221026001974 OH Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 0941293286 Reassigns benefits to 3 organizations
I20240221001122 MI Practitioner - Cardiac Electrophysiology 0941293286 Reassigns benefits to 2 organizations
I20250508002637 KY Practitioner - Cardiac Electrophysiology 0941293286 Reassigns benefits to 1 organization
I20260427002346 TX Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0941293286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Okaloosa Cardiology PAGroup PAC ID 7315920899, 9 clinicians
Gulf Coast Multispeciality Services, LLCGroup PAC ID 2466555339, 19 clinicians

Practice addresses (Care Compare)

129 E Redstone Ave
Suite a
Crestview, FL 32539-5350
Phone (850) 682-7212

1301 Pleasant Valley Rd
Suite 202
Owensboro, KY 42303-9774
Phone (270) 417-7500

2202 State Ave
Suite 303
Panama City, FL 32405-4590
Phone (850) 872-3939

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00021666ALMDInternal Medicine Physician
C3898KYMDClinical Cardiac Electrophysiology Physician
2025052182MOMDClinical Cardiac Electrophysiology Physician
W2196TXMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Jan 24, 2024 Accepting new patients
Okaloosa Cardiology P a Cardiovascular Disease CurrentSince Apr 1, 2024 Accepting new patients
Partners Physician Group CurrentSince Jul 15, 2022 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Jan 24, 2024 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Baycare Aurora, LLC Cardiovascular Disease CurrentSince May 24, 2021 Accepting new patients
Owensboro Health Medical Group Inc Internal Medicine CurrentSince May 2, 2025 Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Nov 21, 2023 Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince Jan 24, 2024 Accepting new patients
Lakeland Medical Practices Internal Medicine CurrentSince Jan 24, 2024 Accepting new patients
Owensboro Health Medical Group, Inc. Internal Medicine CurrentSince May 2, 2025 Accepting new patients
Partners Physician Group Internal Medicine CurrentSince Jul 15, 2022 Accepting new patients
Mercy Professional Care, LLC Internal Medicine CurrentSince Nov 21, 2023 Accepting new patients
Northwest Florida Heart Group PA Cardiovascular Disease Past Accepting new patients
Thedacare, Incorporated Past Accepting new patients

Locations

129 E Redstone Ave
Ste A
Crestview, FL 32539
Phone (850) 682-7212

1032 Mar Walt Dr
Unit 110
Ft Walton Bch, FL 32547
Phone (850) 862-1753

921 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 388-4333

1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
Phone (270) 417-7500

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 110
Saint Joseph, MI 49085
Phone (269) 985-1000

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

Interoperability endpoints

  • Direct secure messaging: farhat.mehmood@hca5.eclinicaldirectplus.com
  • Direct secure messaging: farhatmehmood@ocfl.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0009543

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1205884178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 AVOCET LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325148082",
            "telephone_number": "205-427-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E REDSTONE AVE STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395350",
            "telephone_number": "850-682-7212",
            "fax_number": "850-682-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Pleasant Valley Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423039774",
            "country_code": "US",
            "telephone_number": "270-417-7500",
            "fax_number": "270-417-7509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Graham Rd Ste C-2310",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630318023",
            "country_code": "US",
            "telephone_number": "314-953-6300",
            "fax_number": "314-953-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 Meadowview Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376607332",
            "country_code": "US",
            "telephone_number": "423-230-5000",
            "fax_number": "423-390-6852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-644-3278",
            "fax_number": "210-702-6130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHMOOD",
        "first_name": "FARHAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00021666",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "W2196",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "49357",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "247291",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MO",
            "license": "2025052182",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KY",
            "license": "C3898",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME110965",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "W2196",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TN",
            "license": "247291",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936574",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fmehmood131113@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "1301 Pleasant Valley Rd Ste 202",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423039774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1225 Graham Rd Ste C-2310",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630318023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.