Individual provider Active NPI

Atif Bashir, M.D.

  • Interventional Cardiology Physician
  • Wellington, FL
National Provider Identifier
1316246739
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME138594 Issued in FL
Practice address
1447 Medical Park Blvd Ste 101
Wellington, FL 33414-3164
Phone
(561) 753-0001
Fax
(561) 753-0005
NPI assigned
Mar 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 280623 NY
Cardiovascular Disease Physician 207RC0000X ME138594 FL
Interventional Cardiology Physician 207RI0011X ME138594 FL Primary

Addresses

Primary practice location

1447 Medical Park Blvd Ste 101
Wellington, FL 33414-3164

Mailing address

PO Box 939
Loxahatchee, FL 33470-0939
Phone (561) 793-6100

Other practice location 1

109 John F Kennedy Dr Ste A
Atlantis, FL 33462-6617
Phone (561) 753-0001

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
I20190814001437 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1557585049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eh Cardiovascular Institute of Palm Beach, LLCGroup PAC ID 3971831611, 6 clinicians

Practice addresses (Care Compare)

1447 Medical Park Blvd
Suite 101
Wellington, FL 33414-3164
Phone (561) 753-0001

Hospital & facility affiliations

  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME138594FLMDCardiovascular Disease Physician

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
Eh Cardiovascular Institute of Palm Beach, LLC Cardiovascular Disease CurrentSince Mar 1, 2020 Accepting new patients
Blue Radiology Services LLC CurrentSince Jul 1, 2021 Accepting new patients
Independent Ekg Consultant'S, Inc. Cardiovascular Disease Past Accepting new patients
Surgicath LLC PastSince Jul 28, 2019 Accepting new patients
Juan Joel Garza, MD PA Cardiovascular Disease Past Accepting new patients

Locations

109 John F Kennedy Dr
Ste A
Atlantis, FL 33462
Phone (561) 228-1995

1447 Medical Park Blvd
Ste 101
Wellington, FL 33414
Phone (561) 753-0001

10131 Forest Hill Blvd
Ste 101
West Palm Beach, FL 33414
Phone (561) 798-4455

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

16750 Persimmon Blvd
Westlake, FL 33470
Phone (561) 791-7200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: abashir275164@mhsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFIBD

Organizations & group practices 5

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 2

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": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1316246739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334700939",
            "telephone_number": "561-793-6100",
            "fax_number": "561-793-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 MEDICAL PARK BLVD STE 101",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143164",
            "telephone_number": "561-753-0001",
            "fax_number": "561-753-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 John F Kennedy Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Atlantis",
            "state": "FL",
            "postal_code": "334626617",
            "country_code": "US",
            "telephone_number": "561-753-0001",
            "fax_number": "561-753-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHIR",
        "first_name": "ATIF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "280623",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME138594",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME138594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.