Individual provider Active NPI

Haytham Elgammal

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1841832359
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
HSE26932 Issued in FL
Practice address
7031 SW 62ND
Miami, FL 33143
Phone
(305) 284-7700
NPI assigned
Oct 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X HAE26932 FL
Internal Medicine Physician 207R00000X HSE26932 FL Primary

Addresses

Primary practice location

7031 SW 62ND
Miami, FL 33143

Mailing address

4935 Ranger Dr Apt 2101
Davie, FL 33328-7161

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Md.medicine1@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HSE26932FLMDInternal Medicine Physician
HAE26932FLMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1841832359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4935 RANGER DR APT 2101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333287161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 SW 62ND",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-284-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGAMMAL",
        "first_name": "HAYTHAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "HAE26932",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "HSE26932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Md.medicine1@gmail.com",
            "affiliation": "N",
            "address_1": "7031 SW 62ND",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.