Organization Active NPI

Mohammad M Masri Mdpa

Doing business as Mohammad M Masri MD

  • Specialist
  • Miami, FL
National Provider Identifier
1316282304
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0045673 Issued in FL
Legal business name
MOHAMMAD M MASRI MDPA
Doing business as
Mohammad M Masri MD
Practice address
9055 SW 87TH Ave
Miami, FL 33176-2306
Phone
(305) 412-4474
NPI assigned
Dec 3, 2012
Last updated
Dec 3, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
MOHAMMAD M MASRI MDPAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Dr. Mohammad Milhim Masri, MDNPI 1629040787
Title
Physician/Director
Phone
(786) 263-2809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0045673 FL Primary

Addresses

Primary practice location

9055 SW 87TH Ave
Miami, FL 33176-2306

Mailing address

PO Box 432300
Miami, FL 33243-2300
Phone (305) 412-4474

Other identifiers 1

IdentifierTypeStateIssuer
048253600MedicaidFL

Other names 1

  • Mohammad M Masri MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121221000372 FL Part B Supplier - Clinic/Group Practice 1052564044 Receives reassigned benefits from 1 practitioner
Practice locations: South Miami, FL

National Provider Directory

National Provider Directory
Part of
Mohammad Milhim Masri M

Locations

9055 SW 87th Ave
Miami, FL 33176
Phone (305) 412-4474

7000 SW 62nd Ave
Ste 600
South Miami, FL 33143
Phone (305) 284-7577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1316282304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332432300",
            "telephone_number": "305-412-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762306",
            "telephone_number": "305-412-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD M MASRI MDPA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOHAMMAD M MASRI MDPA",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "MASRI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "MILHIM",
        "authorized_official_title_or_position": "PHYSICIAN/DIRECTOR",
        "authorized_official_telephone_number": "786-263-2809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0045673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048253600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohammad M Masri MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.