NPIMap

Individual provider Active NPI

Hesham Ali Abdelkader Fakhri, M.D.

  • Cardiovascular Disease Physician
  • Tampa, FL
National Provider Identifier
1225245178
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME107116 Issued in FL
Practice address
508 S Habana Ave Ste 160
Tampa, FL 33609-4190
Phone
(813) 708-8346
Fax
(866) 270-9831
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME107116 FL
Cardiovascular Disease Physician 207RC0000X ME107116 FL Primary

Addresses

Primary practice location

508 S Habana Ave Ste 160
Tampa, FL 33609-4190

Mailing address

301 W Platt St Ste A428
Tampa, FL 33606-2292
Phone (813) 708-8346

Other identifiers 1

IdentifierTypeStateIssuer
003758100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110808000796 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3577614239 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hesham Fakhri MD PLLCGroup PAC ID 6103182670, 6 clinicians

Practice addresses (Care Compare)

2106 Ashley Oaks Cir
Suite 101
Wesley Chapel, FL 33544-6417
Phone (813) 708-8346

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
83.73
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting39
Pacemaker insertion or repair1-10
Varicose vein removal138
Leg revascularization (restoring blood flow)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME107116FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC Current Accepting new patients
KND Development 59, LLC CurrentSince Oct 1, 2019 Accepting new patients
Greater Tampa Bay Physician Specialists, LLC CurrentSince Aug 19, 2018 Accepting new patients
West Florida Cardiovascular Co-Management Associates, LLC Cardiovascular Disease CurrentSince Dec 20, 2017 Accepting new patients
Tampa General Hospital Current Accepting new patients
Hesham Fakhri, MD PLLC Cardiovascular Disease CurrentSince Jul 26, 2017 Accepting new patients

Locations

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

2605 W Swann Ave
Ste 100
Tampa, FL 33609
Phone (813) 708-8346

508 S Habana Ave
Ste 160
Tampa, FL 33609
Phone (813) 708-8346

4555 S Manhattan Ave
Tampa, FL 33611
Phone (813) 540-0093

4801 N Howard Ave
Tampa, FL 33603
Phone (727) 581-4800

301 W Platt St
Ste A428
Tampa, FL 33606

2106 Ashley Oaks Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 708-8346

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGHABD/Endpoint/EGHABD
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: hfakhri23560@direct.tgh.org

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1225245178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W PLATT ST STE A428",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062292",
            "telephone_number": "813-708-8346",
            "fax_number": "866-270-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE STE 160",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094190",
            "telephone_number": "813-708-8346",
            "fax_number": "866-270-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHRI",
        "first_name": "HESHAM",
        "middle_name": "ALI ABDELKADER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME107116",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME107116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003758100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.