Labib Mikram Ghulmiyyah, MD

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

ME146339 Issued in FL

Practice address

1625 SE 3Rd Ave Ste 415-a
Fort Lauderdale, FL 33316-2521

Phone

(954) 958-9959

Fax

(855) 855-2793

NPI assigned

Jun 14, 2007

Last updated

Feb 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL, NJ2 enrollments

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 2

Specialty

Obstetrics/Gynecology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Broward Hospital DistrictGroup PAC ID 3577472422, 192 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 27)

Networks

• Freedom Health HMO Network

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.

• North Broward Hospital District

  dba BH Physicians North

  • Neurological Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1801581129
  Medicare reassignment Care Compare group NPD
• University of Miami

  dba UMiami Medicine - Hepatology

  • Hepatology Physician
  • Miami, FL
  • NPI 1013967827
  Medicare reassignment NPD
• Regional Women's Health Group, LLC

  dba Axia Women's Health

  • Obstetrics & Gynecology Physician
  • Voorhees, NJ
  • NPI 1548215536
  Medicare reassignment NPD
• Nchmd Inc

  • Hematology & Oncology Physician
  • Naples, FL
  • NPI 1831120195
  Medicare reassignment
• North Broward Hospital District

  dba BH Physicians Main

  • Vascular Neurology Physician
  • Fort Lauderdale, FL
  • NPI 1114366580
  NPD
• North Broward Hospital District

  dba Broward Health Annie L. Weaver Health Center Pharmacy

  • Community/Retail Pharmacy
  • Pompano Beach, FL
  • NPI 1699709766
  NPD
• University of Miami

  dba UMiami Medicine Multi Specialty Services

  • Internal Medicine Physician
  • Miami Beach, FL
  • NPI 1124768627
  NPD
• University of Miami

  dba UMiami Medicine - OB/GYN

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1730139361
  NPD
• Regional Womens Health Group LLC

  dba Axia Women's Health

  • Obstetrics & Gynecology Physician
  • Phoenixville, PA
  • NPI 1750880118
  NPD
• North Broward Hospital District

  dba Broward Health Cora E. Braynon Family Health Center Pharmacy

  • Community/Retail Pharmacy
  • Fort Lauderdale, FL
  • NPI 1134164965
  NPD (past)
• Regional Women's Health Group, LLC

  dba RWHG Women First Health Center

  • Obstetrics & Gynecology Physician
  • West Orange, NJ
  • NPI 1497016620
  NPD (past)
• Somerset OBGYN Association

  • Obstetrics & Gynecology Physician
  • Bridgewater, NJ
  • NPI 1750489399
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1699979252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SE 3RD AVE FL 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162564",
            "telephone_number": "954-958-9959",
            "fax_number": "855-855-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE STE 415-A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-958-9959",
            "fax_number": "855-855-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHULMIYYAH",
        "first_name": "LABIB",
        "middle_name": "MIKRAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME146339",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME146339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3708246618-COMMERCIAL NUMBER",
            "identifier": "3708246618",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107802100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• GGB MD PA
• Mufaddal Ghadiali, MD
• Andrea Carolina Ghersi Da Gama, MD
• Marcelo M Ghersi, M.D.
• Lydia Ghinoo, MED, RMHCI
• Kristen Rose Giammalvo, APRN
• Giant Medical Supplies, LLC
• Danielle Jacqueline Shore Giarratano, M.A., CCC-SLP
• Judith C Gibel, RN
• Kimberly Lynn Gibson

• Maternal & Fetal Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Maternal & Fetal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.