Organization Active NPI

MHM Medical Group, PLLC

  • Internal Medicine Physician
  • Rockledge, FL
National Provider Identifier
1881114205
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MHM MEDICAL GROUP, PLLC
Practice address
835 Executive LN Ste 140
Rockledge, FL 32955-8068
Phone
(321) 373-0505
NPI assigned
Jun 27, 2017
Last updated
Sep 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Dr. Tamid Alberto Turbay, MDNPI 1588090633
Title
Owner
Phone
(321) 373-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

835 Executive LN Ste 140
Rockledge, FL 32955-8068

Mailing address

835 Executive LN Ste 140
Rockledge, FL 32955-8068
Phone (321) 373-0505

Other practice location 1

835 Executive Ln Ste 140
Rockledge, FL 32955-8068
Phone (321) 373-0505

Other practice location 2

1900 Palm Bay Rd NE Ste A
Palm Bay, FL 32905-2955
Phone (321) 373-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171028000252 FL Part B Supplier - Clinic/Group Practice 1153697644 Receives reassigned benefits from 3 practitioners
Practice locations: Rockledge, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2136811MHM Medical Group835 Executive Lane Ste 140, Rockledge, FL 32955Certificate of waiverSep 14, 2027
10D2276844MHM Medical Group Palm Bay1900 Palm Bay Rd Suite a, Palm Bay, FL 32905Certificate of waiverFeb 15, 2027

National Provider Directory

National Provider Directory

Locations

1900 Palm Bay Rd NE
Ste A
Palm Bay, FL 32905
Phone (321) 373-0505

835 Executive Ln
Ste 140
Rockledge, FL 32955
Phone (321) 373-0505

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16615/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1881114205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 EXECUTIVE LN STE 140",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329558068",
            "telephone_number": "321-373-0505",
            "fax_number": "321-806-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 EXECUTIVE LN STE 140",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329558068",
            "telephone_number": "321-373-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Executive Ln Ste 140",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329558068",
            "country_code": "US",
            "telephone_number": "321-373-0505",
            "fax_number": "321-806-3290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Palm Bay Rd NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329052955",
            "country_code": "US",
            "telephone_number": "321-373-0505",
            "fax_number": "321-806-3290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MHM MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "TURBAY",
        "authorized_official_first_name": "TAMID",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-373-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.