Individual provider Active NPI

Waqas A Ghumman, M.D.

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Atlantis, FL
National Provider Identifier
1619931516
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
ME126314 Issued in FL
Practice address
180 JFK Dr
Suite 320
Atlantis, FL 33462-6641
Phone
(561) 548-4900
Fax
(561) 434-5165
NPI assigned
Apr 17, 2006
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 01052070A IN
Cardiovascular Disease Physician 207RC0000X 01052070A IN
Clinical Cardiac Electrophysiology Physician 207RC0001X 01052070A IN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01052070A IN
Vascular Surgery Physician 2086S0129X 01052070A IN
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X ME126314 FL Primary

Addresses

Primary practice location

180 JFK Dr
Suite 320
Atlantis, FL 33462-6641

Mailing address

180 JFK Dr
Suite 320
Atlantis, FL 33462-6641
Phone (561) 548-4900

Other identifiers 2

IdentifierTypeStateIssuer
200375660MedicaidIN
P01214639OtherINRR MEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address WAQAS.GHUMMAN@hca4.eclinicaldirectplus.com

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
I20160330001803 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Advanced Heart Failure and Transplant Cardiology 0547335978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Advanced Heart Failure and Transplant Cardiology
Education
Indiana University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawnwood Cardiovascular Surgery LLCGroup PAC ID 7214937598, 53 clinicians

Practice addresses (Care Compare)

180 JFK Dr
Suite 340
Atlantis, FL 33462-6641
Phone (561) 548-1542

180 John F Kennedy Dr
Suite 320
Atlantis, FL 33462-6607
Phone (561) 548-4900

5301 S Congress Ave
Atlantis, FL 33462-1149

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01052070AINMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawnwood Cardiovascular Surgery LLC CurrentSince May 1, 2016 Accepting new patients
Major Hospital Past Accepting new patients
Thoracic & Cardiovascular Surgeons LLC Past Accepting new patients
Indiana University Health, Inc Cardiovascular Disease Past Accepting new patients

Locations

180 John F Kennedy Dr
Ste 320
Atlantis, FL 33462
Phone (561) 548-4900

5301 S Congress Ave
Bldg 300
Atlantis, FL 33462
Phone (561) 548-4900

3641 S Miami Ave
Ste 170
Miami, FL 33133
Phone (305) 285-2121

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: waqas.ghumman@hca4.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1619931516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 JFK DR",
            "address_2": "SUITE 320",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-548-4900",
            "fax_number": "561-434-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JFK DR",
            "address_2": "SUITE 320",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-548-4900",
            "fax_number": "561-434-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHUMMAN",
        "first_name": "WAQAS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "IN",
            "license": "01052070A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01052070A",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IN",
            "license": "01052070A",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01052070A",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01052070A",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "FL",
            "license": "ME126314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200375660",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P01214639",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WAQAS.GHUMMAN@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "180 JFK Dr",
            "address_2": "SUITE 320",
            "city": "Atlantis",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334626641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.