Hashem Mubarak, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME0046828 Issued in FL

Practice address

625 W Baldwin Rd Ste C
Panama City, FL 32405-3359

Phone

(850) 769-0329

Fax

(844) 212-7396

NPI assigned

Jul 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9524/brand/1/csg/1/fhir/r4

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.

• Hashem Mubarak

  • Cardiovascular Disease Physician
  • Panama City, FL
  • NPI 1962697524
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1306867502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W BALDWIN RD STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053359",
            "telephone_number": "850-769-0329",
            "fax_number": "844-212-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W BALDWIN RD STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053359",
            "telephone_number": "850-769-0329",
            "fax_number": "844-212-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUBARAK",
        "first_name": "HASHEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0046828",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0046828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "03633",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110022029",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040043200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva Kathleen Motes, RBT
• Tammie Mott, ARNP/CNM
• Hatem M. Moussa, M.D.
• Brent Moyer
• Tyler Scott Moyer
• Cherie Mullins
• James Hugh Mullins, D.M.D.
• Mullis Eye Institute Inc
• Mullis Eye Institute Inc
• Mullis Eye Institute Inc

• Cardiovascular Disease Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.