Mahmoud H Adam, MD
Individual provider Active NPI Cardiovascular Disease Physician · Naples, FL
NPI 1598742017 · NPPES record last updated Mar 5, 2012
Key facts
- NPI
- 1598742017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 35-033073 (OH)
- Practice address
- 1351 Pine St
Naples, FL 34104-4260 - Phone
- (239) 304-9267
- Fax
- (239) 304-9276
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1963
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6597 Nicholas Blvd
Suite 1104
Naples, FL 34108-7264
Hospital & facility affiliations
- Naples Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080619000290 | FL | Practitioner - Cardiovascular Disease (Cardiology) | 6800882002 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-033073 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahmoud Adam, M.D. Inc | Cardiovascular Disease | Past |
Accepting new patients |
| Marymount Special Services | Past | Accepting new patients | |
| Swicft Medical Partners LLC | Cardiovascular Disease | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/9571/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35-033073 | OH | Yes |
Addresses
Primary practice location
1351 Pine St
Naples, FL 34104-4260
Mailing address
1351 Pine St
Naples, FL 34104-4260
Phone (239) 304-9267
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000325278 | Other | OH | ANTHEM |
| 0163184 | Medicaid | OH |
Other providers in Naples, FL
- Acous Hearing Solutions Inc
- Acp Squad LLC
- Acupuncture & Natural Health Solutions, PLLC
- Acupuncture and Pain Management Inc
- Adam C Perry MD PA
- Michaela Andrea Adam
- Charles Adamczyk
- Lisa Adamczyk
- Jason Adames
- Amy Lynn Adams
All providers in Naples, FL · Cardiovascular Disease Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.