Ibrahim H Amjad, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME70663 Issued in FL

Practice address

1100 SW 57TH Ave
Penthouse #1
West Miami, FL 33144-5122

Phone

(305) 267-8885

Fax

(305) 265-0142

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, TX2 enrollments

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 2

Specialty

Plastic and Reconstructive Surgery

Education

Albany Medical College of Union University, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ibrahim.amjad@direct.myteamcare.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/c_GakPKBwGEp9LXRCx-dgLzSCTzRDPZ4/

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.

• Ibrahim H. Amjad, MD, PA

  • Plastic Surgery Physician
  • West Miami, FL
  • NPI 1821271982
  Medicare reassignment NPD Authorized official
• McAllen Hospitalist Group, PLLC

  • Internal Medicine Physician
  • Edinburg, TX
  • NPI 1356361976
  NPD

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1477551455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558568",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332558568",
            "telephone_number": "305-267-8885",
            "fax_number": "305-265-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SW 57TH AVE",
            "address_2": "PENTHOUSE #1",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445122",
            "telephone_number": "305-267-8885",
            "fax_number": "305-265-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMJAD",
        "first_name": "IBRAHIM",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME70663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264381200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Virginia Alvarez, HAS
• Michael A Alvarez, RBT
• Ambar RX Inc
• AMC Medical and Diagnostic Inc
• Tania Ameijeiras, BA
• Amt Health LLC
• Anay Medical Center Inc
• Antonio J Reyes MD PA
• Ap Pharmacy Inc
• Aponte Dental Corp

• Plastic Surgery Physician in West Miami, FL
• Providers in West Miami, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.