Individual provider Active NPI

Mahmoud Barbarawi, MD

  • Interventional Cardiology Physician
  • Titusville, FL
National Provider Identifier
1407378599
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME167633 Issued in FL
Practice address
825 Century Medical Dr
Titusville, FL 32796-2113
Phone
(321) 633-8660
Fax
(321) 268-6164
NPI assigned
Jul 11, 2017
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME167633 FL
Interventional Cardiology Physician 207RI0011X ME167633 FL Primary

Addresses

Primary practice location

825 Century Medical Dr
Titusville, FL 32796-2113

Mailing address

951 N Washington Ave BLDG 4
Titusville, FL 32796-2194
Phone (321) 268-6111

Other practice location 1

5005 Port St John Pkwy
Port St John, FL 32927-4305
Phone (321) 633-8660

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240529000150 FL Practitioner - Interventional Cardiology 8729353099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Brevard Medical Support IncGroup PAC ID 7618870296, 62 clinicians

Practice addresses (Care Compare)

5005 Port St John Pkwy
Suite 2300
Port St John, FL 32927-4305
Phone (321) 268-6834

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.26
Promoting interoperability
100
Improvement activities
40
Cost
78.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting29
Leg revascularization (restoring blood flow)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME167633FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Brevard Medical Support, Inc CurrentSince Jul 8, 2024 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Jul 8, 2024 Accepting new patients
North Brevard Medical Support, Inc PastSince Aug 8, 2021 Accepting new patients

Locations

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

5005 Port St John Pkwy
Ste 2300
Port St John, FL 32927
Phone (321) 268-6834

250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868

825 Century Medical Dr
Titusville, FL 32796
Phone (321) 567-4991

825 Century Medical Dr
Ste A
Titusville, FL 32796
Phone (321) 268-6868

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

951 N Washington Ave
Bldg 4
Titusville, FL 32796
Phone 3212686111 ext. 8071

Interoperability endpoints

  • Direct secure messaging: mahmoud.barbarawi.1@17832.direct.athenahealth.com
  • Direct secure messaging: mahmoud.barbarawi@xdr.hhchealthdirect.org

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 4

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1407378599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 N WASHINGTON AVE BLDG 4",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962194",
            "telephone_number": "321-268-6111",
            "fax_number": "321-635-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CENTURY MEDICAL DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962113",
            "telephone_number": "321-633-8660",
            "fax_number": "321-268-6164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 Port St John Pkwy",
            "address_purpose": "LOCATION",
            "city": "Port St John",
            "state": "FL",
            "postal_code": "329274305",
            "country_code": "US",
            "telephone_number": "321-633-8660",
            "fax_number": "321-268-6164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBARAWI",
        "first_name": "MAHMOUD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME167633",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME167633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.