Individual provider Active NPI

Michael M. Bahrami, MD

  • Cardiovascular Disease Physician
  • Miami, FL
National Provider Identifier
1568470417
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME56556 Issued in FL
Practice address
2390 NE 186TH St
Miami, FL 33180-2789
Phone
(305) 760-8400
Fax
(305) 931-6166
NPI assigned
Aug 4, 2006
Last updated
Aug 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME56556 FL Primary

Addresses

Primary practice location

2390 NE 186TH St
Miami, FL 33180-2789

Mailing address

2390 NE 186TH St
Miami, FL 33180-2789
Phone (305) 760-8400

Other identifiers 2

IdentifierTypeStateIssuer
09866UOtherFLFLORIDA BLUE SHIELD
062430600MedicaidFL

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
I20040616000506 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7719961895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2390 NE 186TH St
Miami, FL 33180-2907
Phone (305) 760-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME56556FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All Specialty Care PA Cardiovascular Disease PastSince Aug 1, 2008 Accepting new patients
Kindred Hospital Ekg Associates Inc Cardiovascular Disease PastSince Sep 1, 2008 Accepting new patients
Jaraki Medical Care PA Cardiovascular Disease Past Accepting new patients
Bahrami & Amer PA Cardiovascular Disease PastSince Jul 1, 1994 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1568470417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 NE 186TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331802789",
            "telephone_number": "305-760-8400",
            "fax_number": "305-931-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 NE 186TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331802789",
            "telephone_number": "305-760-8400",
            "fax_number": "305-931-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHRAMI",
        "first_name": "MICHAEL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME56556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE SHIELD",
            "identifier": "09866U",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062430600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.