Individual provider Active NPI

Baaz Mishiev, M.D.

  • Gastroenterology Physician
  • Hollywood, FL
National Provider Identifier
1245472869
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME106701 Issued in FL
Practice address
4700 Sheridan Street
Suite F
Hollywood, FL 33021
Phone
(954) 961-8400
NPI assigned
Mar 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11185 FL
Internal Medicine Physician 207R00000X ME106701 FL
Internal Medicine Physician 207R00000X 241399 NY
Gastroenterology Physician 207RG0100X ME106701 FL Primary
Gastroenterology Physician 207RG0100X 241399 NY

Addresses

Primary practice location

4700 Sheridan Street
Suite F
Hollywood, FL 33021

Mailing address

4700 Sheridan Street
4700M
Hollywood, FL 33021
Phone (917) 691-9457

Other identifiers 1

IdentifierTypeStateIssuer
2491300MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100816000397 FL Practitioner - Gastroenterology 8325172190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York Medical College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

11011 Sheridan St
Suite 109
Hollywood, FL 33026-1501
Phone (954) 961-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy45
Upper gastrointestinal (GI) endoscopy for acid reflux57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11185FLMDInternal Medicine Physician
241399NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health LLC Gastroenterology Current Accepting new patients
Gastro Health, LLC Gastroenterology CurrentSince Aug 1, 2017 Accepting new patients
Gcpa Anesthesia Services, LLC PastSince Apr 1, 2013 Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

4700 Sheridan St
Ste F
Hollywood, FL 33021
Phone (954) 961-8400

4700 Sheridan St
Ste M
Hollywood, FL 33021
Phone (954) 961-8400

4700 Sheridan St
#4700M
Hollywood, FL 33021

11011 Sheridan St
Ste 109
Hollywood, FL 33026
Phone (954) 431-7724

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

Organizations & group practices 3

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 3

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": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1245472869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN STREET",
            "address_2": "4700M",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "917-691-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN STREET",
            "address_2": "SUITE F",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-961-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHIEV",
        "first_name": "BAAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "11185",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME106701",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "241399",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME106701",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "241399",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2491300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.