Individual provider Active NPI

Payam Hakimi, D.O.

  • Family Medicine Physician
  • Bay Harbor Islands, FL
National Provider Identifier
1780801738
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9236 Issued in CA
Practice address
9630 E Bay Harbor Dr
Bay Harbor Islands, FL 33154-2104
Phone
(305) 397-8282
Fax
(305) 397-8434
NPI assigned
Apr 19, 2007
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A9236 CA Primary
Family Medicine Physician 207Q00000X OS16374 FL

Addresses

Primary practice location

9630 E Bay Harbor Dr
Bay Harbor Islands, FL 33154-2104

Mailing address

9630 E Bay Harbor Dr
Bay Harbor Islands, FL 33154-2104
Phone (305) 397-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 7, 2016 through Mar 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A9236CAMDFamily Medicine Physician
OS16374FLMDFamily Medicine Physician
9236CAMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1780801738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 E BAY HARBOR DR",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542104",
            "telephone_number": "305-397-8282",
            "fax_number": "305-397-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 E BAY HARBOR DR",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542104",
            "telephone_number": "305-397-8282",
            "fax_number": "305-397-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIMI",
        "first_name": "PAYAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9236",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS16374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Harbor Islands, FL

Sources for this page

Verify at the official NPI Registry.