Active NPI
Aneal S. Masih, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Melbourne, FL
National Provider Identifier
1376525360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME61598
- Practice address
- 1350 S Hickory St
Dept. of Pathology
Melbourne, FL 32901-3278 - Phone
- (321) 434-7000
- Fax
- (321) 434-5295
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME61598 | FL | Primary |
Addresses
Primary practice location
1350 S Hickory St
Dept. of Pathology
Melbourne, FL 32901-3278
Mailing address
PO Box 144333
Orlando, FL 32814-4333
Phone (407) 422-9831
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373891480 | Medicaid | FL | |
| 220017777 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME61598 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1376525360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 144333",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328144333",
"telephone_number": "407-422-9831",
"fax_number": "407-648-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 S HICKORY ST",
"address_2": "DEPT. OF PATHOLOGY",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013278",
"telephone_number": "321-434-7000",
"fax_number": "321-434-5295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASIH",
"first_name": "ANEAL",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME61598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373891480",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220017777",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.