Phoenix American Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PHOENIX AMERICAN MEDICAL LLC

Practice address

1030 S 78TH St
Tampa, FL 33619-4750

Phone

(813) 740-0646

Fax

(813) 609-3733

NPI assigned

Nov 30, 2017

Organization subpart

Yes

Parent organization

SHIFA HEALTHCARE HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Azzam Muftah, MDNPI 1417918988

Title

Owner

Phone

(352) 277-5348

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCACBD

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dalton M Benson, M.D.

  • Internal Medicine Physician
  • Spring Hill, FL
  • NPI 1164477618
  Medicare reassignment NPD
• Stacy Lena Besse, APRN

  • Family Nurse Practitioner
  • Zephyrhills, FL
  • NPI 1316714207
  Medicare reassignment NPD
• Vinayal Joseph

  • Nurse Practitioner
  • Tampa, FL
  • NPI 1952801649
  Medicare reassignment NPD
• Mangesh B Patel, MD

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1194781443
  Medicare reassignment NPD
• Francisco Jose Rodriguez, MD

  • General Practice Physician
  • St Petersburg, FL
  • NPI 1174056543
  Medicare reassignment NPD
• Santos Ruiz Cordero, MD

  • General Practice Physician
  • Vero Beach, FL
  • NPI 1598976557
  Medicare reassignment NPD
• Charles R Friend, D.O.

  • Family Medicine Physician
  • Crawfordsville, IN
  • NPI 1184638868

  FL

  Medicare reassignment NPD
• Azzam Muftah, M.D.

  • Gastroenterology Physician
  • Brooksville, FL
  • NPI 1417918988
  NPD Authorized official

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1649784489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14690 SPRING HILL DR STE 101",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346098102",
            "telephone_number": "352-428-7817",
            "fax_number": "352-797-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S 78TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194750",
            "telephone_number": "813-740-0646",
            "fax_number": "813-609-3733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 N US 1 Ste 1423",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349501418",
            "country_code": "US",
            "telephone_number": "772-788-2120",
            "fax_number": "772-788-2122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6719 Gall Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335422569",
            "country_code": "US",
            "telephone_number": "813-708-6990",
            "fax_number": "813-537-8762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX AMERICAN MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHIFA HEALTHCARE HOLDINGS LLC",
        "enumeration_date": "2017-11-30",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "MUFTAH",
        "authorized_official_first_name": "AZZAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-277-5348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Alexander Philp, CCP, BS,
• Gale Marie Philson
• Jason Jevante Philson, DHA
• Ayesha Philyaw, PHARM.D.
• Timothy Phippins
• Phoenix Counseling Service, Inc.
• Phoenix Dental, PLLC
• Phoenix Home Care, Inc
• Phoenix Home Health LLC
• Phoenix Home Health LLC

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.