Maged Doss Farid, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME81059 Issued in FL

Practice address

250 S Wickham Rd
West Melbourne, FL 32904-1134

Phone

(321) 752-5210

Fax

(321) 752-5388

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGFDAA
• Direct secure messaging: maged.farid@fpgp.eclinicaldirectplus.com
• Direct secure messaging: mfarid71655@epicdirect.hf.org

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.

• Apollo Anesthesia, PA

  • Anesthesiology Physician
  • W Melbourne, FL
  • NPI 1356665350
  Medicare reassignment NPD Authorized official
• Digestive and Liver Center of Melbourne LLC

  • Endoscopy Clinic/Center
  • Melbourne, FL
  • NPI 1659446425
  NPD (past) Authorized official
• Florida Pediatric Group PA

  • Pediatrics Physician
  • W Melbourne, FL
  • NPI 1396962734
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1780758771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S WICKHAM RD",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041134",
            "telephone_number": "321-752-5210",
            "fax_number": "321-752-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S WICKHAM RD",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041134",
            "telephone_number": "321-752-5210",
            "fax_number": "321-752-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARID",
        "first_name": "MAGED",
        "middle_name": "DOSS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME81059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259807800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kethia Elie
• Nickline Clervil Emile
• Sarai Escarment, MS
• Elizabeth A Evans
• Jennifer A Fairbank, PT
• Tammy Lee Farrell, LPTA
• Damaris Feliciano
• Julianne Isabella Fernandez
• Roxanne Fernandez
• Josh L Fields, PHARMD.

• Pediatrics Physician in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.