Bashar Lutfi MD PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME 79552 Issued in FL

Legal business name

BASHAR LUTFI MD PA

Practice address

1725 N University Dr Ste 425
Coral Springs, FL 33071-6000

Phone

(305) 259-0092

Fax

(786) 545-7627

NPI assigned

Feb 17, 2008

Organization subpart

No

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

Authorized official

Name

Bashar Lutfi, MDNPI 1548483761

Title

President

Phone

(954) 756-0615

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Bashar Lutfi, M.D.

  • Neurology Physician
  • Coral Springs, FL
  • NPI 1548483761

  FL, Neurology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1203206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1740458371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9397 SATINLEAF PL",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763960",
            "telephone_number": "305-259-0092",
            "fax_number": "786-545-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 N UNIVERSITY DR STE 425",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716000",
            "telephone_number": "305-259-0092",
            "fax_number": "786-545-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASHAR LUTFI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-17",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "LUTFI",
        "authorized_official_first_name": "BASHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-756-0615",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME 79552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AJ151",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Bartol
• Trevor Dane Barton, DO
• Dina Bartos Cazacu, OTR
• Nylton Tuibuen Basco, PT
• Gaietry Basdeo
• Giovanna Basilio, PSYD
• Natan Bastoky, DO
• Janique Raiza Chan Bata, PT
• Linda Diane Bataille, DNP, ARNP, FNP-C
• Nathalie L Bataille, O.D.

• Neurology Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.