Individual provider Active NPI

Ziad M Mamish, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Pensacola, FL
National Provider Identifier
1598710428
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME62780 Issued in FL
Practice address
5149 N 9TH Ave
G32
Pensacola, FL 32504-8756
Phone
(850) 416-6450
Fax
(850) 416-6783
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME62780 FL Primary

Addresses

Primary practice location

5149 N 9TH Ave
G32
Pensacola, FL 32504-8756

Mailing address

PO Box 2699
Pensacola, FL 32513-2699

Other identifiers 1

IdentifierTypeStateIssuer
377197800MedicaidFL

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
I20090330000703 FL Practitioner - Endocrinology 4880751270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

Practice addresses (Care Compare)

1549 Airport Blvd
Pensacola, FL 32504-8635

4501 N Davis Hwy
Suite a
Pensacola, FL 32504-2724
Phone (850) 476-9000

4501 N Davis Hwy
Suite C
Pensacola, FL 32503-2724
Phone (850) 416-4960

5151 N 9TH Ave
Suite 200
Pensacola, FL 32504-8721
Phone (850) 416-4188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME62780FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Aug 10, 1992 Accepting new patients
Sacred Heart Health System Inc CurrentSince Aug 10, 1992 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients

Locations

5045 Carpenter Creek Dr
Pensacola, FL 32503
Phone (850) 416-2400

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

5149 N 9th Ave
Ste G32
Pensacola, FL 32504
Phone (850) 416-0086

1549 Airport Blvd
Pensacola, FL 32504
Phone (850) 416-2340

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

5151 N 9th Ave
Ste 201
Pensacola, FL 32504
Phone (850) 416-6020

1549 Airport Blvd
Ste 330
Pensacola, FL 32504
Phone (850) 416-5450

Interoperability endpoints

  • Direct secure messaging: ziad.mamish.1@9582.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1598710428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5149 N 9TH AVE",
            "address_2": "G32",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048756",
            "telephone_number": "850-416-6450",
            "fax_number": "850-416-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMISH",
        "first_name": "ZIAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME62780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377197800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.