Individual provider Active NPI

Mohammad Milhim Masri, MD

  • Surgical Oncology Physician
  • South Miami, FL
National Provider Identifier
1629040787
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
ME00045673 Issued in FL
Practice address
6140 SW 70TH St
Second Floor
South Miami, FL 33143-3419
Phone
(305) 328-8537
Fax
(305) 726-0019
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086X0206X ME00045673 FL Primary
Surgical Oncology Physician 2086X0206X ME45673 FL

Addresses

Primary practice location

6140 SW 70TH St
Second Floor
South Miami, FL 33143-3419

Mailing address

PO Box 432300
Miami, FL 33243-2300
Phone (305) 328-8537

Other identifiers 1

IdentifierTypeStateIssuer
048253600MedicaidFL

Other names 1

  • Dr. Mohammad Milhim Masri Professional name

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
I20051021000526 FL Practitioner - General SurgeryPractitioner - General PracticePractitioner - Surgical Oncology 0143246850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6140 SW 70TH St
FL 2
South Miami, FL 33143-3419

Hospital & facility affiliations

  • Larkin Community Hospital Hospital, South Miami, FL, CCN 100181

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME00045673FLMDSurgical Oncology Physician

Organizations & group practices 1

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 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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1629040787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332432300",
            "telephone_number": "305-328-8537",
            "fax_number": "305-726-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 SW 70TH ST",
            "address_2": "SECOND FLOOR",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433419",
            "telephone_number": "305-328-8537",
            "fax_number": "305-726-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASRI",
        "first_name": "MOHAMMAD",
        "middle_name": "MILHIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME00045673",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME45673",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048253600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMAD",
            "last_name": "MASRI",
            "middle_name": "MILHIM",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.