Individual provider Active NPI

Hadi Mahmaljy, M.D

  • Interventional Cardiology Physician
  • Tampa, FL
National Provider Identifier
1336521830
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
153884 Issued in FL
Practice address
4450 E Fletcher Ave Ste C
Tampa, FL 33613-4907
Phone
(813) 975-2800
Fax
(813) 977-7924
NPI assigned
Jun 22, 2015
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CT
Internal Medicine Physician 207R00000X 153884 FL
Internal Medicine Physician 207R00000X 69916 CT
Internal Medicine Physician 207R00000X 125067688 IL
Cardiovascular Disease Physician 207RC0000X 153884 FL
Interventional Cardiology Physician 207RI0011X 153884 FL Primary

Addresses

Primary practice location

4450 E Fletcher Ave Ste C
Tampa, FL 33613-4907

Mailing address

4450 E Fletcher Ave Ste C
Tampa, FL 33613-4907
Phone (813) 975-2800

Other practice location 1

2136 Ashley Oaks Cir Ste 101
Wesley Chapel, FL 33544-6902
Phone (813) 975-2800

Other practice location 2

5115 N Armenia Ave
Tampa, FL 33603-1405
Phone (813) 975-2800

Other identifiers 1

IdentifierTypeStateIssuer
114110700MedicaidFL

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
I20220525001715 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7810382652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Vasco M Marques MD PAGroup PAC ID 8022119221, 5 clinicians
West Florida Cardiovascular Co-Management Associates, LLCGroup PAC ID 0547538316, 36 clinicians

Practice addresses (Care Compare)

2136 Ashley Oaks Cir
Suite 101
Wesley Chapel, FL 33544-6902
Phone (813) 975-2800

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (800) 432-2301

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23
Pacemaker insertion or repair1-10
Varicose vein removal21
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125067688ILMDInternal Medicine Physician
153884FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vasco M Marques MD PA Cardiovascular Disease CurrentSince Jul 1, 2022 Accepting new patients
West Florida Cardiovascular Co-Management Associates, LLC Cardiovascular Disease CurrentSince Jul 13, 2023 Accepting new patients
Ecg Tampa Bay, LLC Cardiovascular Disease PastSince Jul 1, 2022 Accepting new patients

Locations

3010 E 138th Ave
Ste 12
Tampa, FL 33613
Phone (813) 975-2800

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

4450 E Fletcher Ave
Ste C
Tampa, FL 33613
Phone (813) 524-5106

5115 N Armenia Ave
Tampa, FL 33603
Phone (813) 556-7515

2136 Ashley Oaks Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 975-2800

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1336521830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 E FLETCHER AVE STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134907",
            "telephone_number": "813-975-2800",
            "fax_number": "813-977-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 E FLETCHER AVE STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134907",
            "telephone_number": "813-975-2800",
            "fax_number": "813-977-7924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2136 Ashley Oaks Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446902",
            "country_code": "US",
            "telephone_number": "813-975-2800",
            "fax_number": "813-977-7924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5115 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336031405",
            "country_code": "US",
            "telephone_number": "813-975-2800",
            "fax_number": "813-977-7924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMALJY",
        "first_name": "HADI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "153884",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "69916",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125067688",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "153884",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "153884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114110700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.